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Village Permit <br />Address_ <br />Contractor <br />LOwner !'/ Address <br />State License No. Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <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 shall include all additional specifications as listed below. <br />" 6; <br />Instar plumbing systems: Fee $ <br />Install <br />sewage disposal systems: Fee $ <br />Repair <br />Installs� <br />waters <br />Fee $�/� �. <br />Rclipir <br />Fee $ <br />Tota) amount paid to Vrllagc....... <br />$ 4) <br />q <br />L <br />ti1 77 <br />Signature of app'icant <br />'$igilaturc of Viiiage Official <br />