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^ -3 <br />.'1 <br />.. <br />i.pr“|r*iv <br />//L^ /{/6/ /.Contnirlor.Address. <br />Owner. <br />f <br />Address.d) <br />I \ <br />State License No.Vilhge License No. <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay. Minnesota <br />Villag* P«rin» M2 3242 » <br />//. <br />Date.<?■ 7‘V' <br />Section No. <br />Parcel No. <br />Plat No, <br />Lot Blodc.Subdivision <br />Other Description: <br />'i <br />'.t <br />-4-i <br />t <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 bdow. <br />Insiall plumbing systems: <br />Install <br />Kciuir <br />lnsl.ill <br />Repair <br />Fee $. <br />sewage disposal sptems: Fee $. <br />wafer' supply sysinris: Fee %—/ 0 *, Q. <br />Fee S' <br />Total' uniolliit jwk! tO' Villa^• •••••• 'V '■ Ilf——PaMMWM <br />Signature of applicant <br />Signature of Village Official <br />$