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Contractor_a Lm er'' ��r we2-_ _ Addres <br />�/ r-e01r� ("W firOwt�cr �r2 Addres <br />State License 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 />Village Permit Nq 1622 <br />e,, /)f A*-- <br />Lot_ Block_______._ Subdivision--- <br />I <br />ubdivision _ - <br />I hereby agree that, in ca�c a pennit is granted, all <br />work which <br />shall <br />be done <br />and all materials wliicli 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 />tet s ply systems: <br />Re <br />Total aniount pail to \ illagc . . <br />I� ec $_— <br />Fee $ <br />Signature of applicant <br />Signature of Village Offs�ial <br />