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Village Permit N2 1634 <br />Contractor �� r Address <br />---- <br />Owner— Ll/ _ :Address / r�/' <br />State License No.—_____-___ ..______ _ Village License No. ----- <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Parcel No. <br />Section No Lot__ <br />Plat No <br />Other Description: <br />Datc_�^�-� <br />l7 <br />Block---- Subdivision --- <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 shali include all additional specifications as listed below. <br />Install plunibirig systems: Fee $ <br />Install <br />Repair savage disposal systems: Fee $ <br />Install <br />Re rwater su ply systems: Fee $ _ <br />r , Fee $J'r-0 <br />"Dotal amount paid to \ illage........ $ <br />Signature of applicant <br />Signature of s. illagc Bial <br />