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'W. <br />Village Permit N© ^555 <br />•4 <br />/3 <br />Owner.iC In {/ C^J/J y/t tT/L^ <br />Contracfrnr ^f 'idl ( ^Address.z'" <br />/ <br />State License No, <br />— Address, . **// .*^<*^ <br />Village License No, <br />/j <br />^-J> <br />\ '> <br />Section No. <br />Other Description: <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />• <br />•y' <br />• ^ . . <br />Date.ot?/ <br />Parcel No. <br />Plat No-_ <br />/ <br />Lot Block.Subdivisioa <br />vk which <br />boUcom- <br />ith oU the <br />py with the ilbge Code of Orono applicable thereto, and shall include all addilioiial spccihcations as listed below <br />' •' <br />:d <br />il££. <br />Install pluftibing systems: <br />Install <br />Repair systems: <br />Install <br />Repair systems: <br />-M±l <br />Fee $ <br />Fee $. <br />b ee $. <br />Fee $7. <br />Total amount paid to Village............ $. <br />Signature of applicant <br />Signaluie of Village Official <br />'/hLti