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[T <br />V <br />■ «•■, V. '*, <br />136 <br />M <br />'X <br />'A- <br />. i <br />•r , <br />Village Permit N2 972 <br />State License No <br />/>f/v------- Address ^I <br />.......... Address /j/' JXJes~J------^ ^ <br />' ______________ V'illagc License No—^ ^ ----------------—— <br />Ownet-IT^^ <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Datc—Uj-i *> /V <br />Section No^0 Parcel NoD-Z-^-i^ <br />Plat No________ <br />Lot—4j Block Subdivision <br />Other Description: <br />^. f <br />^ ■ -J + V ■ <br />Jl <br />’I <br />Install plumbing systems:Fee $.Signature of applicant <br />sewage disposal systems: Fee ----- <br />Repair <br />Install Supply sy’stcms: Fee <br />liLipair <br />Fee $ <br />Signature of Village Official <br />Total amount ^wid to Village..........TZ^a.