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IVA <br />Village Permit <br />Contrart` t v t C -if A Address <br />Owner X A L f^, �.D ��--" Address <br />State License No. <br />Parcel No. <br />Section No _ <br />Plat No <br />Other Description: <br />Village License No.— <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivision <br />Date--/! ` 2' 3 J 70- <br />Parcel <br />0 <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 additi., nal specifications as listed below. <br />Install plumbing systems: Fcc $ <br />Install <br />sc%vage disposal systems: Fee $ <br />Repair <br />Install Jit. ia. S <br />r� <br />waters s. Fee <br />Reit / <br />Fee $f' <br />Total amount }xiid to Village....... $ <br />Signature of applicant <br />Signature of Village Official <br />