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Village Permit NS 1430 <br />2l <br />Address.O^AO-r-i Q-Pv <br />State Licen.se No.Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date. <br />X <br />Section No. <br />Riicel No. <br />Plat No_ <br />Lot Block.Subdivision <br />Other Description: <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 sliall include all additional specifications as listed below. <br />Install plumbing systems: <br />Install <br />Repair <br />Install <br />Fee $.Signature of applicant <br />sewage disposal s^tcins: Fee $. <br />water supply systcin.s:l ee %____ <br />Fcti ^SigTiaturc of \’illage <br />Total amount paid to Village............$----------- <br />;e Oi&ial <br />//C