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Village Permil N2 1832 <br />Contractor."j)n Address. <br />rwii*.r Wo h Q MiSja AHHrp-« fy ^ <br />state License No.Village License No.. <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Ciystal Bay, Minnesota <br />Date. <br />Section No. <br />Parcel No. <br />Plat No __ <br />Lot Block.SubdivisioiL <br />Other Description: <br />I hereby agree that, in case a permit i.<: ^nted, all work which shall be clone and all materials which shall be used, shall <br />comply with the Village Code of O ix K v ^ applicable thereto, and shall include all additional spccific'ations as listed below. <br />j <br />Install {Numbing systems:Fee $.Signature of applicant <br />scuage disposal sy.>tems:Fee $. <br />Install. water suf^y systems: <br />Repair <br />Fee S. <br />Fee <br />Total amount paid to Village............$. <br />Signature of \'illage Official