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.. JP6.. r ._ <br />village Permit i 12 3 014 <br />Contractor ^} �� / �' �►'�'�� Addres <br />Owner. 21 ? a 1l� /� Zty Address 77 <br />2. <br />State License <br />Parcel No <br />Section No <br />Plat No. <br />Other Description: <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <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 />Install plumbing systems: <br />Install <br />se%vage disposal systems <br />Repair <br />Install <br />water s4ly.�rr' <br />t�s: <br />Fee $_ <br />Fee $ <br />Fee $ Ir or <br />Repair �--�- <br />Total amount paid to Village....... $ al <br />Signature of applicant <br />Signature of Village Official <br />