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C4, <br />Sta <br />Village Permit : i . ` g j <br />atractor "�/ / `-.—25 � Address <br />Owner Address ' <br />to License No. Village License No <br />Parcel No <br />Section No <br />Plat No — <br />Other Description: <br />GENERAL PERMIT <br />VILLAGE OF ORO'10 <br />Crystal Bay, Minnesota <br />Lot— Block_ Subdivision. <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 Orono applicable thereto, and shall include all additional specifications as listed below. <br />L& <br />Install plumbing systems: Fee $ <br />Install <br />sewage disposal systems: Fee <br />Repair <br />Install <br />water supplysystems: Fee $ . '/�), <br />Repair <br />Fcc $ 'i <br />Total amount Ix,id to Village....... $ �" <br />Signature of applicant <br />Signature of Village Official <br />