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lilt c � �--�� _-- - <br />i <br />Owner _- <br />Village Permit N? 1965 <br />Contractor <br />A /9-�t 2 <br />Address__.._ `� I ' �- _ <br />( 1041 <br />Address <br />StYate Licuise No.--.- _ ___ _-_ Pillage License No. ----.- <br />GENERAL PERMIT <br />VILLAGE <br />o.__. — ._ <br />Parcel No. <br />Section No._ <br />Plat No <br />Other Description: <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lots._ - _------ -- Block ----- <br />State <br />lock_____ <br />1/1� I v <br />Date <br />Subd1Vls1011 <br />1 hereby agree that, in case a permit is granted, all <br />work which <br />shall <br />lx clone <br />alul all inaterlals whit 1+ sliall <br />be used, shall <br />comply with the Village <br />Code of Orono applicable <br />thereto, and <br />shall <br />inchide <br />all additional spcciticatimis as <br />listed below. <br />111SIAI! l�ltlll�l��llq sti trn�±►: <br />Install <br />Re}wir <br />IIINtall <br />uatc1 � l,pls �s,te1�►L <br />Repa#t . <br />TUT SIMR1111t jW41 to ` 11149k <br />l4 t <br />I4tcc $ _ St$1Id t l.t l C cls A }'t" KAnt <br />F'ee $- _.. _ . _ ......... <br />Fee <br />7+,prttWe ��t � �It�e (iWW <br />I <br />