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Contractor_ �< <1 '4�B�X� Addres:S�_ <br />State License No <br />Parcel No <br />Section No <br />Plat No <br />Othcr Description: <br />. Village Licensc No. - __ - <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay. Minnesota <br />Lot—_ _. 131ock----_ Subdivision_ <br />Village Permil N° 1289 <br />Date �� / <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 />sewage disposal systems <br />Repair <br />Install <br />water supply systems: <br />Repair <br />Total auunint ball to \ illagu. . <br />Fee $-- <br />Fee— <br />Fee $ <br />Fee $ - <br />Fee <br />ti <br />Signature of applicant <br />Signature of Village Ofli -ial <br />