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Contractor_ <br />rw . <br />Owner <br />State License No..-__.. <br />Pa Teel No. <br />Section No. <br />Plat No. <br />Other Description: <br />Vill-ige Permit N° 1713 <br />Address _------- -- - -- ------__ _____ . <br />--------- <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />hate <br />Block__-..-__--- Siilxi1v1s1011- __- __ <br />I hereby agree that, in "Ise a }xmiit is granted, all <br />%vork which <br />Tall <br />he done <br />and All mat*crril,� which `hall <br />be used, small <br />comply with the Village <br />Code of Orono applicable <br />thereto, and <br />-ihall <br />include <br />all additMildi slxcifi(ations its <br />listed below. <br />Install Plumbing systems: Fee $__--- ______ .-- Sigi4iu c: of applic;aut <br />r <br />Install <br />stwAge dispo%al Systems: <br />Repair <br />1 ��titall <br />ter su IN <br />Rep© <br />Total amount paid to \ 116gv . <br />Fee <br />Fee <br />S <br />Signature of Village 01$(ial <br />A <br />