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.''i' <br />K. <br />>- <br />r 1^ <br />i- <br />Village Ptrmft N2 2111 <br />Contractor. <br />Owner.jji <br />Address. <br />'\/(A4yyl.Address——*i£l 3S~ ^ <br />Slate license No,Village License No, <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />i ■ <br />. *' -} <br />Date.S' /> ^ <br />Parcel No, <br />Section No,Lot BIocL Subdivisioa <br />s <br />Plat No. <br />Other £)escriptioti: <br />I hereby agree Biat, in case a permit is granted, all work which shall be done and all materials which shall be tued, shall! <br />comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below*. <br />■ i <br />I <br />; <br />5^ CU^(L^ £7 <br />Install (dumbing systems; <br />Install <br />Signature ol ap{dicaiit <br />sewage disposal s)’stenis: Fee $. <br />Repair <br />Install <br />water supply ssstems: <br />Repuiry / <br />lUA <br />Total amount paid to <br />V <br />1-ee % <br />vilLire...........$uL— <br />Signature of \'i1lage O^ial <br />^//uA Al/k/U. <br />i