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H V, <br />■ .I),' <br />Village Permit NS 186S <br />• *A <br />Coii tractor. <br />./ <br />rPctU^^ <br />r\ <br />Owner.O^L <br />J^/uyTi Addresi <br />4 <br />7 <br />Address.fk is <br />State license No.Village License No. <br />>1 <br />d <br />Safi'S?fe-*'l - 'Vj <br />GENERAL PERMIT <br />VILLAGE OF OROHO <br />Crystal Bay, Minn(-s’•ir' <br />^t.'-4 Date.'J-ic-AP <br />Section No. <br />Pared No. <br />Phi No- <br />Lot Block Subdivisioa <br />Other Description: <br />I heidiy agree that in case a permit is granted, all work which sliall be done and all iiuteriah which sliall be used, shall <br />comply widi the Village Code of Orono apfdicable thereto, and shall include all additional specifications as listed bdow. <br />t- n-tr?i ' fi <br />^ 5, <br />Install plumbing systems:Fee $.biguatuic ol applicant <br />ImtaU ,sc«^e dispcKal systuns: <br />Repair <br />Fee $. <br />1 <br />Install supply .systems: Fee $. <br />Fee $L t w Sigttaturc of X'illagc Official <br />Totel amount paid to V illage............$.in • ^ <br />L'C^ <br />1m-/iUf <br />Ji;