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# < <br />f <br />•'y *-v'.Ov r;«Vlllago Parmif NS 2237 <br />Contractor.Address. <br />>*e*^ <br />Owner <br />State License No,Village License No. <br />•■^rj4 <br />‘f^z <br />GENERAL PERMIT <br />i '.w <br />J?*- •**>■fJf. <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />■ ./^■ <br />fi^. <br />Date <br />Parcel No. <br />Section No.Lot Blodc Subdivisioa <br />Other Description: <br />Plat No, <br />33 <br />W-f <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 />comply with the Village Code of Orono applicable thereto, and shall include all additional speciheations as listed below. <br />. . i-— <br />Lh ^ <br />• r <br />'i*-*•, <br />t.. <br />Install plumbing systems:Fee $. <br />Install <br />sewage disposal sySfeniS] <br />Repair <br />Fee V <br />Install <br />water supply ss’stems:Fee $. <br />Fee $. <br />Total amount paid to Village.. <br />i <br />‘ ibf* ■■ <br />Signature of applicant <br />Signature of X'illage Official <br />/y <br />i <br />• V <br />j <br />*• <br />■ € <br />____.a, ■ -.»«OL..J