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Village Permit 3354 <br />Contractor r Address—t L� -t_4 <br />Owner. fu h P <br />' r ; <br />Address <br />�a3ie_ 36.0 41��� <br />State License No. _ Village License No <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot— Blocky Subdivision <br />Date /,() --- / 4 ` 7 �' <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 />Install r, <br />sewage disposal systems: <br />Rcpai <br />Install <br />Repair ! j� <br />water su Sys <br />Fee $ <br />Fee <br />Fee $ / r -- (1 0 <br />-> > Fee $ <br />Total amount paid to Village....... $_ <br />t i <br />Signature of applicant <br />Signature of Village Official <br />