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Village Permit <br />Contractor P' <br />liAddress / �AA L <br />Owner L f/Z -Y2F Address / L'1V N J i <br />State License <br />Parcel No. <br />Section No <br />Piat No. <br />Other Description: <br />Village License <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot- Block_ Subdivision <br />Date <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 />0 <br />Install plumbing systems: Fee $ <br />Install <br />sewage disposal systems: Fee $ <br />Repair <br />water shpW> s: Fee <br />Relxiir <br />c1Ll U rvh✓ � eeT3 Fee $ /(1. O b <br />Total amount paid to Village....... $-4. <br />Signature of applicant <br />Sig,iature of Village Official <br />