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Contractor �''� "� ._ �-- Address <br />Owner <br />Address <br />v-11189. P.'n* N° 4169 <br />State License No. Village License No <br />Parcel No. <br />Section No <br />Plat No <br />Ot I ter Descri pt ion: <br />GENERAL PERMIT <br />VILLAGE OF 0110110 <br />Crystal Bay, Minnesota <br />Date - 1,5— <br />Lot No& Subdivision <br />1 hcreby agree that, in case a permit is granted, all <br />work which <br />shall <br />be done <br />and all materials which shall be <br />used, shall <br />Comply with the Village. <br />Codc of Orono applicable <br />thereto, and <br />shall <br />include <br />all additional spec.'fications as It, <br />-J below. <br />Witer 4' etet <br />`c wes t400kup <br />Irt A AH Ci .1 E•hing Sy'$tern% <br />In%telt %ewajr lhspo%al Syvem% <br />I n•t sl l Mr At et t#.x* ijp <br />Inosil W Ater Supplti Sv %tt m% <br />Imo alt %toer F4c*Aup <br />Mate 4urtA% <br />1 eN&l %IYt OU"I PAIJ tO t 111, &V <br />Fee S <br />Fee S to 0 -0 - <br />I~ er S <br />F. wee S <br />V cc S <br />ter S <br />to a S <br />SgWturr of applicant <br />Sqmtum of V111W 01stal <br />