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State License No <br />Section No <br />O! ter Description: <br />0 WE <br />Village License <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Parcel No. <br />Plat No <br />Lot Block__ Subdivision <br />Village Permil N" 1457 <br />I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall <br />comply with the Village Code of Oi.,no applicable thereto, and shall include all additional specifications as listed below. <br />Install Phu g syst ms: Fee $— <br />Insta - �— <br />scwage �sposal sv Fee <br />Repair <br />Install <br />Repair <br />water supply systems: Fee $_ <br />" <br />Fee $ <br />Total amount paid to Village........ S_—. _ <br />Signature of applicant <br />