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Village Permit N? <br />.I <br />Contractor""��— <br />Owner-���__�" ___. Addresser <br />State License No. _ _—_ Village License No. <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date <br />663 <br />Parcel No. ---1-n7 <br />-',-0--',-0-'F <br />Plat No.—_ !� <br />Section No. ' Loth '�� Block --!V--- � Subdivision� <br />—_ <br />Other Description: <br />I hereby agree that, in case a permit is granted, all <br />work which shall <br />be done <br />acid all materials which shall be used, shall <br />comply with the Village <br />Code of Orono applicable <br />thereto, and shall <br />include <br />all additional specifications as listed below. <br />Install plumbing systems: Fee $— _ <br />Install <br />sewage disposal systems: Fcc <br />Repair <br />Install 00 <br />water supply systems: Fee $ _ <br />------ FCC $- -- <br />np <br />Total amount paid to Village....... $��._ <br />of applicant <br />Signature of Village Official <br />