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Village Permit No 1369 <br />Contractor�/)h1_e_' ..._. __1` c.v _ Address— <br />Owner A <br />ddress—OwnerAc _ __— •Ct�IACQ Address_—�._G'vt <br />State License No--__ __ _ <br />Section No <br />Other Description: <br />Village Lic•cnsc No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Dat <br />Parcel No. <br />Bloch---- Subdivision--- <br />Plat No. <br />I hereby agree that, in case a permit is granted, all %vork ;•vhich shall be done and all materials which shall be used, sliall <br />comply with the Village Code of Orono applicable thereto and shall include all additional spec•itications as listed below. <br />Install plumbing systems: Fee $---- Siguaturc�ooff applicant <br />Install r/�✓�""�/"vl <br />ltepa.ir <br />sewage dislx)sal systems: Fee $ <br />_ <br />1 u.,tell <br />water supply systems: Fee $ _ <br />Re}ra r�I � ��" <br />ieg&� _ Fee Sigivaturc of \ illaac Official <br />Total. amount paid to Village........ <br />