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Village Permit No 623 <br />n <br />Contractor a �_�L— Addretis_ <br />Owner v L-�'�cS�� - --- Address N -2=j 3 y f I �r . Ln _ <br />State License No. Village License No 1- Yb <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, 'Miancsota <br />Date_?r* (Z�_-- <br />Parccl No. V---k- <br />Section <br />-Section No. I Lot -_3-.0.- Block -J--_ Subdivision <br />Plat No..___. --__- <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 :ill additional specifications as listed below. <br />Install plumbing systems: <br />sewage disposal systems <br />Repair <br />Install <br />Repair water supply systems: <br />Fee $-- - -- <br />Fuc $ Cs 0 <br />Fce $- - - - <br />Signature of applicant <br />Signature of \ illagc Official <br />Total amount paid to Village....... $ 4L.--��'=e <br />