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Village Permil N° 1476 <br />Contractor—jo 6/me ;5 C 0-- Address -1_!`-_.---- <br />Owner -- j °° -- Address_—Zi_�'�--- C�11 jc <br />State License No.— <br />Parcel No. <br />Section No <br />Plat No. <br />Other Dcscriptiou: <br />—__ Village License No. --- <br />GENERAL PERMIT <br />VILLAGE OF OBONO <br />Crystal Bay, Minnesota <br />r / T <br />Date �) <br />Lot Block— ---- - Subdivision___- _- <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 :;.,tvUl below. <br />Install plumbing ssstcros: <br />Install <br />Repair sewage disposal systcros <br />Install <br />water supply s%sten►s: <br />Reba i <br />- _) <br />Total amount paid to \ illagc. <br />Hee $--- - -- <br />Fee_-- <br />Signature of applicant <br />wk/m" RW41 ff-,,x <br />."M <br />Signature of Village ial <br />