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Viilag* Permit 3158 <br />^ ^ ' *-i <br />p.nnhnp>nr / cTl\J-€m J H ,*_____ Address___/f h''TtlKKl.__________________ <br />r (A r ^ n___________ A/i>iro«€ /-iSLl\ ^Aet^ f 1/ciuJ / / ^OwncT-J / <br />State License No..Village License No_ <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Section No. <br />Parcel No. <br />Plat No- <br />Block. <br />^ D.K. <br />Subdivision_______ <br />Otiicr Description:^9' <br />1 liCTcby agree that, in case a permit is granted, all work which sliall be done and all nutcrials which shall be used, shall <br />comply with the Vilbgc Code of Orono applicable thereto^ and shall include all additional spccihcations as listed below. <br />!■« <br />V <br />i <br />V' <br />• .1/U' <br />Install plumbing systems: <br />Install <br />Fee $_ <br />Repair <br />Install <br />sewage disposal systenu: Fee J. <br />Repair <br />water s< <br />Signature of applicant <br />Fee S <br />AtrtT Fee $. <br />Signature of Village, Official <br />ijn <br />Total amount paid to Village...........$—^ <br />tJ. >T) <br />IcA IK