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1. 61 <br />Village Permit <br />Contractor Address <br />Owner- Address <br />State License No. Village License N <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />/ Crystal Bay, Afinnesota <br />Date —1` <br />Parcel No. -- <br />Section No Lot— Block-- Subdivision <br />Plat No.—. <br />Other Description: <br />I hereby agree that, in case a nemiit 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 />Install phunb"ng systems: Fee 5._ Signature of applicant <br />Install <br />sewage disposal systems: Fee��— <br />Repci i r <br />'fInstall <br />water supply systems: I ee <br />Rclxiir . v' d Signature of Village Official <br />Fee $—_ -� <br />'fatal anicmnt Ixucl to Village ........ <br />