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Village Permit No 634 <br />- <br />Contractor to �.4_1'-" ^ _ Address___ _ <br />Owner Cn7/ ��,,// <br />- - -- - Address.o� l LI "->� W' � — --- <br />State License No._ —_ —_ Village License No.__'_�__ _ <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date�v�L 6 Y <br />i <br />Parcel 1\'0. <br />Section No / 7 J <br />Lot_7 — Block—i� _ Subdivision'111�I.re-.-,-c <br />Plat No.—_ —— <br />Other Description: <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: Fee $-- - <br />Install <br />Repair sewage disposal systems: Fee_ <br />Install <br />Repair <br />water supply systems: Fee <br />�Fee $-- <br />�'b <br />Total amount paid to Village....... $7- <br />Signature of applicant <br />Signature of Village Official <br />