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Village Permit <br />Contractor �il !'_�' �t % ! .,rY) cQ. r_ �4 %r <br />Addresst <br />Owner Ir It y'Nl �� fC� ��l Address <br />State License No. <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_— Subdivisi <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 shall include all additional specifications as listed below. <br />TV.2S <br />Install plumbing systems: l,cc $_ <br />Install <br />sewage disposal systems: Fee <br />Relx1ir <br />lu�tall , <br />.i <br />s%atcr ,upply systgraw: Fee $— <br />Itcpalf <br />Fee <br />l <br />'lot,]] .1111onnt 1xild to Village....... $ <br />9 '7 <br />Signature of applicant <br />Signature of Village Official <br />