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Village Permit N2 2592 <br />Contractorc-`�ae/Addres ` � ' `r— <br />Owner �l-( GT /-��1 Addres J u &.0 <br />State License <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 <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,,5hall include all additional specifications as listed below. <br />`iZtti ,� / / X7.5-,� l% �/o { - <br />Install plumbing systems: Fee $ <br />Install <br />sewage disposal systems: Fee $ <br />Repair <br />Install �-� <br />supply systems: Fee $ /J <br />X <br />t <br />�_ Fee $/� <br />Total amount paid to Village....... It <br />V <br />. <br />if <br />C -A -A <br />Signa m of applican . <br />Signature of Village Official <br />1 <br />