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•r 1#-^'•i* ■ '1'• • % ^ t#- <br />\ <br />V^. ♦ <br />.v:i <br />I tit.l.tT'Tk^ i <br />:/■» <br />- <br />Contractor __L <br />Owner. <br />State license No <br />'l V <br />reM klnhfsi.,ll. <br />l4y/)T> t.{A Address- <br />Address_*£CjCJ2 <br />f)(( <br />Village License No. <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Cr^’stal Bay, Minnesota <br />P <br />(Village Permit t'? 3055 <br />«M<s» ifi <br />V <br />ff- <br />Parcel No.. <br />Section No.Lot _ Sut)division_ <br />Date./ / - *7 ^ <br />i » j/ <br />Plat No. <br />4n*' <br />vl. <br />Other Description: <br />1 hereby agree that, in case a permit is granted, all work which sliall be done and all materials which shall be used, shall <br />comply with the Village Code of Oroim applicable thereto, and shall include all additional specifications as listed below. <br />{ 4 If A^ 5J S’^_________________________ <br />A <br />i t <br />T ■* <br />I < <br />Install plumbing s)'stcms: <br />Install <br />Fee S- <br />Repuir <br />Install <br />Kc|kiir <br />sewage dis|X)sal sysferns: FeO %. <br />'tt’ater AsjuLA'sAppiy wiiiaiL <br />Fee %. <br />Total amount paid Lo V'ilLigc...........*ii .../d :.Sf 0 <br />Mr'-<i 3-n 0 <br />Signature ot applicant <br />Signature (rf Village Official <br />{■