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Contractor_ <br />Owner---- <br />Statc License No— <br />Village Permit N° 1764 <br />r <br />l I <br />Address— IZ --L-A =epe <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Parcel No. _ — <br />Secu,:: No _ Lot_ _... BI(xk----. Subdivision--_ <br />Plat No._ <br />Other Description: <br />Date <br />I hereby agree tlut, m case a penmt is granted, all <br />work which <br />`hall <br />be clone <br />and all materials whit' shall <br />be used, shall <br />comply with the Village <br />Code of Orono applicable <br />thereto, and <br />shall <br />m(lude <br />all additimul spectfuations <br />as listed below. <br />X; <br />Asj- <br />/C <br />Instrll piuminug ssstcnrs Fee <br />Install <br />xwaKc d"ptowl ss+tcuts Fec f _. <br />Kclrtr <br />Install <br />water supply svatetw Fee 1L. <br />Repaty <br />I atal s111114)WIt prul 141 111414, .. 4 <br />S"tu:e of appiumm <br />'++grYlurc �d \ ,Ila�c (�ittrl <br />