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Contractor <br />Owner as,� <br />��Ct. cloj <br />Village Permit <br />N2 2276 <br />Address <br />Address <br />State License No Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Parcel No _ <br />Section No <br />Plat No <br />Other Description: <br />Crystal Bay, Minnesota <br />Lot Bloch Subdivision <br />- <br />Date I � <br />/6- ? <br />I hereby agree that, in case a permit is granted, all <br />work which <br />shall <br />be done <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: T'cc <br />Install <br />sewage disposal systems: Fee <br />Repair <br />Install <br />wa�r supply systems: <br />Relvir % <br />I <br />Total amount paid to Village ....... $---- - - --- - ---- <br />Signature of applicant <br />Signature of Village Official <br />