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Village Permit N" 1732 <br />Contractor d o e N 5 _ Address <br />Owner— Address <br />State License No. ____ __ Village License No.---- <br />GENERAL <br />o. ___ <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date //— 2 -7 ` <br />Parcel No. <br />Section No Lot_ Block-- Subdivision—___._______ <br />Plat No <br />Other Description: <br />I hereby agree that, in case a permit is granted, all work which shall be done a, -.d 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 />/ L 6 — % _.1 - CC .0 ! I r n vn <br />Install plumbing systems: Fec $ — Signature of applicant <br />Install <br />Repair sc-age disposal systems: Fee $ <br />Install <br />'a ter supply systems: Fee $—_ <br />ReItzFee ' <br />Total amount paid to Village........ $ <br />Signature of Village01cial <br />