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■ V ' t-'y|jy ^--Ti. riTj- r ‘lig V ——^■ -v^r^ \ T^;--------- .Y5. •-----■ -• • <br />% " •'> <br />Iv <br />t' <br />Village Permir N§ 2110 <br />y <br /><5 <br />'"A <br />Contractor.yyuAy /c/A<!^'Address. <br />Owner.mK^ aa J <br />J^/k- <br />r <br />Address.d>o^s C!d4&f) /^/^/ <br />State License No.Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date. <br />Parcel No. <br />Section No.Lot Blodc Subdivision <br />Plat No, <br />Other Description: <br />.V , <br />1A <br />n.., <br />I 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 Orono applicable thereto, and shall include all additional specifications as listed below. <br />r'"'/ aL^ <br />i¥?S <br />i. ■ ’ <br />?** <br />■■fe <br />Install plumbing systems: <br />Install <br />sewage disposal systems: <br />Repair <br />Install <br /><W^er supply systems: <br />Repair <br />f) <br />Fee $L Signature of ap{dicant <br />Fee $. <br />Fee %. <br />Fee $. <br />Total amount paid to Village.......... <br />. VO <br />Signature of Villa^ Official <br />g!^ /i/ lIlax.UA^ <br />'I <br />miiTti'iMiiiijifflil