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Contractor eff n _,5 A (/ — <br />State License N <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />Village Permil No <br />1461 <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Dat e�- <br />Lot— Block Subdivision <br />I hereby agree that, in case a permit is granted, all <br />work which <br />shall <br />be done <br />and all materials which shall <br />be used, shall <br />comply with the Village <br />Code of Orono applicable <br />thereto, and <br />shall <br />include <br />all additional specifications as <br />listed below. <br />Install plumbing systems: <br />Install <br />Repair sewage disposal systems: <br />Install <br />water supply systems: <br />14 ee $ — <br />Fee $ <br />Fee $ <br />r <br />Total amount paid to Village........ $ n ? -" <br />Signature of applicant <br />Signature of Village Official <br />