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Village Permit <br />���tt r\ ' <br />actb r Address <br />Owner. �' I-iA ' IT) <br />Address <br />State License No. Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota �} <br />Date 7 7 Z <br />Parcel No. <br />Section No Lot Block Subdivision <br />Plat No —_ <br />Other Descr' tion: <br />1 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 plumbing systems: Fee $ <br />Install sewage d Fee $ �C. <br />C 0 <br />Repair <br />Install <br />water supply systems: Fee $ <br />Repair <br />Fee <br />Total amount paid to Village....... $ <br />Signature of applicant <br />Signature of Village Official <br />