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a �'y�:.a <br />j <br />Village Permit i ' ` 3163 <br />Contractor. <br />Owner <br />r <br />Add <br />Address <br />Q <br />A t _ <br />State License No. Village License No <br />Section No <br />Other Description: <br />GENERAL PERM41T <br />VILLAGE OF OAONO <br />Parcel No. <br />Plat No. _. <br />Cn,stal Bay, Minnesota <br />4. / <br />Date -11011 <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 />cojnply with the Village Codc of Orono applicable thereto, and shall include all additional specifications as listed below. <br />"7 S- 16 <br />Installplumbing systcrns: <br />Install <br />sok-agc disposal systems: <br />Fee $ <br />Fee $�______ <br />Repair <br />I n,11- 11 <br />\vat cr supply systems: Fee <br />Rc 1,r <br />ty, <br />'Yotal amount p iid to V111agc <br />Signature of applicant <br />Sigroture of Village Official <br />