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Village Permit No 1793 <br />Contractor---_3=!�_ �� �'-1 /7' -� Address <br />,�_ : -Z�!!� Address_' �' • <br />State License Village License No. <br />Parcel No <br />Section No <br />Plat No <br />Other Description: <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot__--__ Block_--_ Subdivisioii <br />Date / ' r ZX-"( <br />I hereby agree that, in case it permit is granted, all work which shall be done and Al 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 systems: <br />Install <br />Repair sewage disposal systems <br />Install <br />water supply s%stenu: <br />Repair <br />Fee Stguaturc of applicant <br />Fee $ <br />Fee $— _ <br />lam_— _ <br />1"C4 ' )Fee $_ <br />Total amount paid to \ illagc........ $1,'. <br />Signature of Village Official <br />s <br />