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ContractorL1 <br />Stalc License No.---.--- .-- <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />Village Permit N° 1682 <br />Address <br />_address` <br />Village License No <br />GFNERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date — <br />Lot—__ Block—__ Subdivision--___ <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 specihcatious as listed below. <br />Install plumbing ystcros: <br />install <br />Repair sewage disposal systems <br />Install <br />svatcr supply systems: <br />epar� <br />Fee $---- — <br />Fee $— <br />Fce <br />Fee $---- <br />Signature of applicant <br />Siguaturc of Village Official <br />Total amount paid to Village........ $____ . - .._. <br />