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Village Permit Ng <br />Contractor Addres ' <br />� 4 <br />Owner-�.—�� rl� ri 5 Address <br />State Licensc No. __ <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date <br />Lot—_ Block Subdivision ____ <br />1434 <br />I hereby agree that, in rase 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 <br />as listed below. <br />Install plumbing systems: <br />Install <br />sewage disposal systems: <br />Repair <br />Install <br />water supply systems: <br />Repai — <br />Total amount paid to Village.... <br />1' ec $-- <br />Fee <br />— <br />Fee <br />Fee $ — - <br />Fee <br />Signature of applicant <br />Signature of Village Offic 1 <br />