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Village Permit 2 9 -7 2 <br />Contractor Address ; '.ti1tt'A1kkL _ <br />Owner r � ' '�-' Address <br />State License No. Village License No <br />Parcel No. <br />Section No_ <br />Plat No. <br />Other Description: <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 speeifirations as listed below. <br />Install plumbing systems: Fee $ <br />Install <br />sewage disposal systems: Fee $ <br />Repair <br />Install a. (lam, <br />water su} lyr`- Fee $ 16. 0 0 <br />Repair <br />Fec$ <br />C. <br />Total amount paid to Village....... $/ n� <br />(C J <br />Signature of applicant <br />Signature of Village Official <br />