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V"llage Permit N2 661 <br />Contractor.=�—` ' _ Address —40M I -- <br />Owner-- ---- --- - -- Addressj--------- <br />State censc o. - ____ —_-_ Village License No._�_— <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date1��_-cZy z_. <br />Parcel 1�'0.-��_ r � <br />Section No Lot—_4-___ Blocky--__- Subdivision <br />Plat No.—t— <br />Other Description: <br />I hereby agree that, in case a permit is granted, all work shall be done and all materials which shall be used, shall <br />comply with the Village Code of Orono applicable ther,�to, and shall include all additional specifications as listed below. <br />Install plumbing systems <br />Install <br />sewage disposal systems <br />Repair <br />— water supply systems: <br />Repair <br />Fcc <br />Fee $—_ <br />-- - FCC $--- - <br />Signature of applicant <br />Signature of Village Official <br />T0# <br />otal :: nc• it paid to Villag e....... <br />