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Village Permit 3594 <br />Contractor 4� �� }- =' c �* Address • Il. <br />h ��1 <br />Owner f -- � � _ Address <br />State License No. _____ Village License No.— <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date 4-1 <br />Parcel No.__. <br />Section No Lot Block Subdivision <br />Plat No.---- <br />Other <br />o —_ <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 all additional specifications as listed below. <br />Install plumbing ststcros: Fee Signature of applicant <br />Intil.ill <br />sewage dklxwsal systems: Fee <br />RLIK it <br />Install <br />water supply syvtems: Fee $ <br />Itclxi�r <br />Fee �:2''"D�, <br />1'44,11 ,114(nmt Jklid to Village....... <br />Signature of \'illagc Officwl <br />