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Owner `-" <br />State License N <br />Village Permit N2 2134 <br />i 1 <br />-7 <br />Address—9 <br />Address <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date _ <br />Parcel No <br />Section No Lot Block Subdivision <br />Plat No— <br />Other Description: <br />I hereby agree that, in case a pennit is granted, all work which shall be done and all materials which shall }x; 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: Fee <br />Install <br />sewage disposal syshnh.s: Fee $ — <br />Repair <br />Install <br />er supply systems: Fee $ <br />Repai // r <br />1 <br />Fee $ ' S <br />paid` to Village....... $ <br />Signature of applicant <br />Signature of \ illage Official <br />