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R���.r �:�':.e � .r yl .. § .. . � ... ��' .. ,. .. - .l ,. ♦ .rte <br />Village Permit 2 L <br />n <br />i <br />Contractor U ^^ ► "t Address <br />Owner Address r' "` h P. ,Q�t Q S 1 <br />v <br />State License No. Village License No. '. <br />Parcel No <br />Section No — <br />Plat No._ <br />Other Description: <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />CnIstal Bay, Minnesota <br />Lot— Block Subdivision <br />Datel— / � " 7 1 <br />I hercb), agree that, in case a permit is granted, all work which shall be done and all materials which shall he 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: FCC $—_ — <br />Install <br />sewage disposal systems: Fee $ <br />Repair <br />Install <br />water supply systems: Fee $ <br />PUF <br />Total aiingr►n p t}�l,�gc ....... $ <br />or.._ c f d. Li C) <br />00769 <br />Signature of applicant <br />Signature of /Village Official <br />