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i <br />Village Permit NO 300 <br />Contractorp,�/ - rr. , -=-o- -kddress— ' <br />Owner fly �r ' %- A Ten A, --Address-- -I- ---- - 2 5 `A -- - <br />State License No.—__—_ __ —_ / Village License No- /10 <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Section No.__1— Parcel Nom,`()() Lot— `' Block ---L— Subdivision <br />Other Description: <br />I hereby agree that, <br />in case <br />a permit is granted, all <br />work <br />which <br />shall be done <br />and all materials <br />which <br />shall be used, shall comply with <br />the Village Code of <br />Orono <br />applicable <br />thereto, and <br />shall <br />include <br />all additional <br />specifications as <br />listed <br />below. <br />Install plumbing systems: <br />sewage disposal systems <br />Install water supply systems <br />Fee $— <br />n�n- <br />Fee$S <br />Fee $— _ <br />Fee <br />Total amount paid to Village ......... $ <br />Signature of applicant <br />Signature of Village Official <br />