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�--v <br />Village Permit K' 2 2616 <br />Contractor Addres <br />Owner `'� ' "� C (� 1� c C' Address �`rl <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 Bloch- Subdivision <br />Date / - -70 <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 />Install plumbing systems: <br />Install <br />sewage disposal systems: <br />Itelxiir <br />Install yy_'�<. <br />water s1110* s 'n' <br />Repair <br />Total amount Ixiid to Village.. <br />F ce $ <br />Fee $ <br />Fee <br />Fee $ it) d 0 <br />..... $ <br />Signature of applicant <br />Signature of Village Official <br />