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Village ' • mill N° 1881 <br />Contractor � � ��1..L'_ v Address <br />Owner /,!/� ��L'• ;� �L 7�L-( 131 e►'t/ Address <br />State License Xo _ _ <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 />Date <br />r F __ <br />Lot_ — Bloch___ Subdivision — <br />I hereby agree that, in case a permit is granted, all work which shall he done and all watcrials 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 />Install plumbing systems: <br />Install <br />Repair savage disposal systems <br />Install <br />Rewater supply systems: <br />pay <br />— LA <br />Fee $— -- <br />Fee <br />Fee <br />Fee $ <br />Signature of applicant <br />Signature of Village Official <br />Total amount paid to Village;........ $___ _ <br />