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I <br />Contractor <br />Owner <br />0 <br />, <br />Address J <br />� V*JlMp Permit I " <br />.X <br />? � -I -, I - Z., <br />State License No— Village License No <br />Parcel No. <br />Section No <br />Plat No. <br />Other Dicscription: <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />319y <br />AI. <br />Date_10 /-., -Z Z' ..e 2 - <br />Lot— Block -- Subdivision - <br />I hcrcby agree that, in case a permit iI s granted, all <br />work which <br />shall <br />be done <br />and all materials which shall <br />be used, shall <br />cmaph, with the Vilkige <br />Code of Orono applicable <br />thereto, and <br />shall <br />include <br />all additional specifications as <br />listed below. <br />111stan planihing systclits: <br />Imun <br />Fee $– <br />%C,W-,Agc (11six"I %s'stvrns: Ftv $ <br />R"Ir <br />Dull <br />Watct 4111p1% %ystenis: <br />RCTOlf <br />,/,C/ - f- 0 <br />Fee s. �M - <br />W - <br />to ...... <br />signattife of applicant <br />Ile <br />Siglutum (if Village CVK-131 <br />-AA0'Jk <br />0 <br />L- I <br />