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Village Permit No 1659 <br />Contractor ___ ..L Address <br />Owner- _ %..e Address— <br />State License No.--.----- ______-__ _ .____ ___ __ _ __ __ Village License No.___ <br />GENERAL PERMIT <br />Parcel No. <br />Section No. — <br />Plat No <br />Ot lier Description: <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot---- Snbdivisiun <br />Date Z r <br />I hereby agree that, in case a permit is granted, X111 <br />%vork which <br />shall <br />be clone <br />and Al matcrials which shall <br />be used, sl►all <br />comply with the Village Codc of Orono applicable <br />thereto, and <br />shall <br />include <br />all additional specifications <br />as listed below. <br />Install pl.11mbillg StiSkIns: <br />Install <br />sc�sa�;c,dislx�sal ti�stcnts: <br />Repair <br />I Iistall <br />rater St ply systenls : <br />Repa <br />Total amount paid to \ illagc . <br />FCC $ _ <br />Fee <br />5igilaturc of applicant <br />Signaturc of <br />i <br />