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Village Permit N9 921 <br />,A <br />Contractor �`',� ( r ., �� . ,!�. r cess , �/ /(.i -.►__ ,^{� - - -- -- <br />r <br />Owner it--� —"'j—,4 -r4 _ - - Address s.— --- <br />State License No Village License No. <br />� rT— <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minncsota <br />Date _ <br />Parcel No.�;,;:-., r7 <br />Section No.�— Lot— _ Block __-.- Subdivision __— <br />Plat No.jl!_�k?-}� - <br />Other Description: <br />I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall <br />comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />Install plumbing systems: Fee $ _ Signature of applicant <br />Install <br />sewage disposal systems: Fee $ <br />Repair <br />Install <br />water supply systems: Fee $ <br />Repair <br />A <br />-cc $_ <br />i �Of <br />Total amount bard to Villagc....... <br />Signature of Villagc Official <br />