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Village Permit r 3556 <br />r <br />Contractor A!e n C04 f4i - ��'` <br />Address <br />3 qj <br />Owner Address ZaeG� <br />State License " <br />Parcel No. <br />Section No _ <br />Plat No <br />Other Description: <br />Village License N <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay; Minnesota <br />Lot Blocky Subdivision <br />Date �Z- <br />- <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 Orono applicable thereto, and shall include all additional specifications as listed below. <br />------ 1- z Z 6 Z z 4- -- <br />Install plumbing systems: <br />Install <br />sewage disposal systems: <br />Repair <br />Install <br />water supply systems: <br />Repair <br />Fee $ <br />Fee $ <br />Fee $ <br />n r <br />rC <br />2 .ti. Fec $ `J Y <br />Total amount paid to Village....... $ <br />Signature of applicant <br />Signature of Village Official <br />