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Village Permit <br />ContractorAddrecc <br />Owner. / Address 1 �z' / <br />State License No. <br />Parcel No <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Section No Lot Block Subdivision <br />Plat No. <br />Other Description: <br />Date <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 Orono applicable thereto, and shall include all additional specifications as listed below. <br />----- ----- -- - Ag I / f 0 -> ' -- — - <br />- -- -- AI7 0 5- -- - <br />Install plumbing systems: <br />Install <br />sewage disposal systems <br />Repair <br />Install <br />water suppiy <br />Rclxiir <br />Fee $ <br />Fee: $ <br />Fee $—Z V - 0 0 <br />i j,a t Fee $ � <br />Total amount paid to Village....... $ <br />dy 70' <br />Signature of applicant <br />Signature of Village Official <br />1 <br />