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State License N <br />Village Permit No 1471 <br />Addres,; J16-L. /k <br />Address... -,I oi'm <br />Village License No. <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date <br />Parcel No. <br />Section No Plat No __ Lot BlockSubdivision— <br />--_--- <br />Other Description: <br />I hereby.. that, in case a pennit 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 />Install plumbing systems: <br />Install <br />Repair disposal <br />sewage systems: <br />Install <br />Repaiter sup ly systems: <br />r <br />Fee $ — <br />Fee $ _ <br />F ee $ _ <br />Fees �O <br />Total amount paid to Village........ <br />Signature of applicant <br />Signature of Village OfAcial <br />