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03�- Village Permit No <br />Contractor �� z��i Y^ Address!!2��1'vt-- r i-A- <br />_ 1/ <br />OwneAddress -/SIY— <br />State License No Village License No. <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Datc-1Q1� v -7 <br />No-2�' �/ <br />Section No.� _ Parcel NoLot_ Block _ Subdivision�r''�`?` <br />Plat No. 101, <br />Other Description: <br />655 <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 />Install plumbing systems: <br />Install <br />Repair sewage disposal systems <br />Install <br />Repairwater supply systems: <br />Fee $ <br />}gee $— <br />Fee $ - <br />Total amount paid to Village....... $-7_- <br />Signature of applicant <br />Signature of Village Official <br />