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GENERAL PERMIT <br />'V •■•1 <br />* J* <br />r«-' <br />t- <br />. Pi <br />. V y A * • <br />ik-siL i <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />I Date <br />Section No. <br />Parcel No., <br />Plat No__ <br />Lot.Block SubdivisioiL <br />Other Description; <br />I hen% agree that, in c-asc a permit is granted, all work which shall be done and all materials which shall be used, shall <br />comply with the V'illagc Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />Lic it, yf f !h // V' <br />‘ 'm <br />Y',a1 fs,^ <br />// <br />A ^ i K- V J^. lr/j/ <br />/ <br />t <br />Install phnnbiiig systems: <br />Install <br />^ . sessage disiwsal systems:Repair <br />Fee $ <br />Fee $. <br />Signature of applicant <br />%s: <br />% <br />Sigiuturc of \'iHagc Officyf <br />. dkm&jL^ <br />%■ i