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Contractor <br />Owner <br />Village Permit <br />----- ---1- j `' Address <br />State License No. <br />Parcel No <br />Section No. <br />Plat No <br />Other Description: <br />--_ address___ <br />Village Licens. No. <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block <br />Subdivision <br />N2 2425 <br />.r <br />dw- <br />Date 'J r {"f <br />I hereby agree that, in case a permit is granted, all <br />work which <br />shall <br />be do:ie <br />and all materials which shall <br />be used, shall <br />comply with the Village <br />Code of Orono applicable <br />thereto, and <br />shall <br />include <br />all additional specifications as <br />listed below. <br />Install plumbing systems: <br />Install <br />sewage dispel systems: <br />Repair <br />Install <br />wed t c•r S 11l)l)ly srtents : <br />I�t•,.xa i�' <br />Fee $____ <br />Fee <br />Fee <br />Total anu int 1uld to Vi1lags; ....... $v.---.— <br />S,gilature of applicant <br />Sig natilre of Villagc Offi(,cal <br />