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•! - 4 • - •. <br />Contractor <br />Owner <br />Add <br />l <br />Address- <br />State <br />ddress <br />State License No. Village License No <br />Parcel No. <br />Vilia� PWn* ", 2 71.1 <br />t1 <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Section No Lot.— Bloc Subdivision <br />Plat No. <br />Other Description: <br />Date <br />I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall <br />comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />Install phillibing syatc:nis: <br />install <br />Kclxrir <br />IIk4ali <br />Fee $. _ <br />Fee $ <br />witcr supply' Fee <br />Rvpkiir <br />I t `f i 16 <br />Fa <br />'1"otal amount prod WWI 1 11 & q * 0 <br />Signature of applicant <br />SwUlture of \'War O&MI <br />r <br />