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. ,+ � 4 } � 7+ui-�.,�,v � .� -•—� �f�.�-Y ��F..w � i*.. iria4/'Y -�,.dY ,. <br />,.�;�►.� .. �e... v 'fir: �,� ...� ,+t )1 '. . <br />Village Permit <br />Address— 1� '.'' clie /�'lF <br />Address r Cj I�r <br />State License No._ Village License No -- <br />Parcel No. <br />Section No <br />Plat No. <br />Uti sr Description: <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date <br />Lot_ Bloch Subdivision— <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 specifications as listed below. <br />rr i <br />Install plumbing systems: Fee <br />Install r <br />sewage diMxv,*1 wstesw: Fee $ <br />Repuir <br />e <br />Install <br />water supply r4s0n: Fee $ Ir C <br />Itepuir <br />Total amounntt paid to Village ....... <br />-s--�- <br />, <br />Signature of applicant <br />Signature of Village Official <br />