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Village Permit <br />3��51 <br />r) C�Contractor ��( �� �/�'� 4 Address <br />Owner <br />Address J r <br />State License No. Village License No <br />GENERAL EER111IIIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Parcel No <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 Pr* applicable thereto, and shall include all additional specifications as listed below. <br />�6[ <br />-A..Q-6 c"o J. v �.... <br />Install plumbing systems: <br />Install <br />sewage disposal systems: <br />Repair <br />Install � �d- <br />water <br />Repair <br />Fee $ <br />Fee $ <br />Fee $ 6. C� f) <br />Fee $�s`Z n <br />Total amount paid to Village....... $�/'� ��e7' '-L' .-- 6 <br />1. <br />Signature of applicant <br />Signature of Village Official <br />d,4 <br />r� <br />