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Village Permit <br />i <br />Contractor Address <br />Owner <,�c.-•�/ec-v- Addressi 7 <br />State License <br />Parcel No. <br />Section No <br />Plat No. <br />Other Description: <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot— Block__ Subdivision <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 Villagc Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />Install plumbing systems: lee $ <br />Install <br />sewage disposal systems: Fee $ <br />Repair <br />Install /0 , O r] <br />water �}�l�..cyrt®uu: Fee $ <br />Repair C��''""�� <br />Fee <br />Total arnouut paid to Villagc....... $� <br />`nic <br />Signature of applicant <br />Signature of Village Official <br />