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Village Permit N2 1009 <br />Contractor<) <br />Address__ <br />OwnL'L iL t ------ Address ';�L 4T-_ <br />State License No. — ___�_ Village License Na. <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />i)atc <br />Parcel No._#�.., ^ <br />Section No. — Plat No.4(.1L-2..a_ Lot_ /4— Block_ - Subdivision <br />Other Description: t <br />1 hereby agree that, irr case a permit is granted, all work which shall be done and all materials which shall be used, shall <br />comply with the Village t;ode of Orono applicable thereto, and shall include all additional specifications as ;isted below. <br />Install plumbing systems: lace <br />Install <br />sewage disposal systems: Fee <br />Repair <br />Install <br />water supply systems: l"cc g _ <br />Repair <br />~7 Fee <br />Total amount paid to Villagc....... $ .a _ <br />Signature of applicant <br />Signature of \'illagc Official <br />