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Contractor <br />04040-�4 <br />r <br />rr; <br />u <br />Add <br />Add <br />Village Permit <br />29"170 <br />0 <br />State License No. Village License No <br />Parcel No. <br />Section No <br />Plat No. <br />Other Description: <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivision <br />- "71 <br />Date L t <br />I hereby agrec 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 />4r 4 <br />.49 A I j ) <br />Install plumbing systems: I4ee $ <br />Install <br />se%rage disposal systems: Fee $ <br />Repair <br />Install <br />Fee & <br />WACT er s ' <br />r <br />• <br />Relxut <br />Fee <br />Total amount lxiid to Village....... <br />-7 <br />Signature of applicant <br />Sipatuve of Vittk—A. i <br />.0 <br />