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Village Permit N9 970 <br />Contractor _^'Cf Address.^>v7 <br />Owner.^_7* l -T <br />State License No <br />'ix^Lo-Address.^'j <br />V'illage License Nn y O <br />B<ry. / % 7 <br />GU*.^9f <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />« <br />Crystal Bay, Minnesota <br />Date. <br />Section No.*L r> Parcel No..5^, 7.52P /_ mi//• ^ Lot__i_is=. Block ---- <br />Plat No <br />Subdivision ft <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 5.Signatuie of applicant <br />Install , r- e-sewage disposal systems: tee <br />Repair <br />water supply systems: I'cc $_2_*—. <br />Repair <br />Fee $.Signature of Village Official <br />Total amount paid to Village ..........$.,u ~