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:ti ••.tom : It <br />i <br />Village Permit 1 3057 <br />/ ' � 1 h a VLJ-- <br />Contractor �Q •u-r» '- ��t � Address <br />r <br />Owner^� Address <br />State License No <br />Village License <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesot., <br />Date <br />Parcel No <br />Section No Lot Block Subdivision <br />Plat No <br />Other Description: <br />I hereby agree that, in case a permit is granted, all work which shall be done and a;l 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 />Install plumbing systems: Fee $ <br />Install <br />sewage disposal systems: Fee $ <br />Repair <br />Install <br />water supply system&#- Fee $ <br />Repair <br />_ Fee $ it <br />Total a count paid to Village....... $ v <br />E� <br />Signature of applicant <br />Signature of Village Official <br />