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Village Permit N4 992 <br />Contractor /� _ Address_ <br />Ownf� �rt----- ---- — -- Address��P`�— <br />State License No. Village License No.. , 6 s <br />el <br />t GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date <br />Parcel No._Dd_cn <br />Section No Lot— Block—Z- Subdivision -1 a� r <br />Plat No. ` 1--)" <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 />Install plumbing systems: <br />EwetI '-4W '�7 <br />Repair sewage disposal systems <br />Install <br />Repair water supply systems: <br />Fee $-- <br />Fcc $ Srf <br />Fee $ - _ <br />Fee $—_ <br />Total amount paid to Village....... $6 — - <br />Signature of applicant <br />Signature of Village Official <br />