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Contractor-z� �14"4-.1 ti4.�ddress_�� .l <br />- <br />1- <br />-wAddress_ <br />Owner 1 ' ---- - <br />State L.iccMC No. <br />Parcel No. <br />Section No. - <br />Plat No <br />Other Description: <br />Village Permit N2 1776 <br />Village Licensc No— <br />GENERAL <br />PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date —J111r_:_.� <br />Lot------- Block----.-- Sul division- ---_ - -- <br />I hereby agree that. in ca%c a permit is granted, all <br />work which <br />-,tall <br />be doctc <br />and all t,iiteriak wInclt Tall <br />be used, shall <br />comply with the Village <br />Code of Orono applicable <br />thereto, anA <br />shall <br />include <br />all additional yc6ficatto�tts as <br />listed below. <br />Install philrtbtng systulls. <br />Install <br />Repair <br />1114:111 <br />watct <br />ltc�air <br />supply systems: <br />'I,Wall atuoilrtt tutd to \ 111ag;; . <br />Fee $ - ... -. _ <br />Fec -_ <br />I� cc <br />signature of appltcattt <br />' l gnii t o rc (A \ 4 l l agc O la l <br />1100" <br />0 IL <br />-Y <br />.-_' r <br />