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4^'V •*4- <br />> • •> .♦ <br />. - ^ <br />#Village Permit [ J2 3216 <br />/Contractor __'dL m h/ ^ ■Address. <br />/ / <br />Owner_ <br />^ State License No <br />'.^1 ! P iiAAJ Cf4/tLx-h Address.(P'/i-itH) £■/j-ir <br />Village License No_ <br />m <br />GENERAL PERMIT <br />V ■ <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />■ -f. <br />Date 7-S/- <br />Parcel No.. <br />Section No.Lot Block.Subdivisioa <br />Plat No_ <br />Other Description: <br />> ■■.I:-' <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 speciheations as listed below. <br />VrI-:' <br />f ■ <br />1 <br />t * f [ .4-* V f ^y <br />*1- <br />Install plumbing systems: <br />Install <br />Fee $.Signature of applicant <br />i 1V <br />t.. - r f"- <br />Repair <br />Install <br />sewage disposal systems: Fee $. <br />/ ^ 0 lr> A-. <br />Repair <br />water supply systems^f^ Fee $—/(!. <br />Cti Cr Fee $. <br />Total amount paid to Village ^ fP • Js X) <br />Signature of X'illagc Official <br />C <br />/YIa .'"tt- iI if Lh <br />V