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i _.. T k 1 <br />� FK �s.f„ i.. <br />'a <br />Village Permit b <br />Contractor ��- Q� Add <br />OwnerG',4 Address <br />State License No. Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota —7 <br />Date <br />Parcel No. <br />Section No Lot Block Subdivision <br />Plat No. <br />Other Description: <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 shal elude all additional specifications as listed below. <br />------- - - �,'lo g <br />Instali plumbing systcros: Fee 5 -- <br />Install <br />sewage disposal systcros: Fee $ <br />Repair <br />Install e <br />water supglYs Fee $L47 <br />_ <br />Repair <br />I ,o- t ti it ko Fee $ <br />Total amount paid to Village....... $ C) <br />(, <br />42 <br />Signature of applicant <br />Signature of Village Official <br />