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41 1 <br />Contractor—,& L Address A. <br />Owner A u .d �e �... �i>~-d tJ1q-4,�. Address <br />State License No Village License No <br />Parcel No <br />Section No <br />Plat No <br />Other Description: <br />Village Permit N 2 2366 <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />C..ystal Bay, Minnesota <br />Lot_ Block Subdivision <br />Date <br />I heieby agree that, in case a permit is granted, all work which shall be done and all materials whi^h shall be used, shall <br />comply with the Village Code of Orono applicable thereto, and shalt include all additional specifications as listed below. <br />Install plumbing systems: Fee $ <br />Install <br />sewage disposal systems: Fee $ <br />Repair <br />Install <br />Re ater supp systems: Fee $ <br />pat <br />r. Fee $�— <br />Total amount paid to Village....... $ <br />Signature of applicant <br />S�gnnure of Village ial <br />v <br />