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Zy' Contractor__. ____122f <br />0wncr___ <br />Statc License No.--------. _ <br />Parcel No. <br />Section No <br />Plat No <br />otlic Ocscription : <br />Viiiage Permit No 1516 <br />Address <br />J_sZ� Address <br />Village License No.----- <br />GENERAL <br />o. ____ <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date—z// <br />Lot Block__ Stibdivisj011 ______ .__ ._ <br />I hereby agree that, in ease a permit is granted, all <br />work which <br />shall <br />be clo�ie <br />allcl all i����teriai� wrllicli - all <br />be used, shall <br />comply with the Village <br />Cale of Orono applicable <br />thereto, and <br />Tall <br />include <br />all a(lditional specifications as <br />Iisted below. <br />t <br />Install plumbing systems: <br />Iaablt <br />sC\%*i!;C disposal systems: <br />Repair <br />Install <br />.1`water s.appiv S\ StC111S <br />oft <br />r <br />1� ec <br />Fee <br />Fee <br />TOIL iawunt puld to \ Il laK .. S—_ _. _. <br />I <br />I <br />Signature cit applicant <br />Signature cit <br />V11 Edge Official <br />I <br />