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ft, 4.Mrf <br />Village Permit it 3199 <br />Contractor ilt C 41' 1 � ��^ � Address <br />*— l L Address A - <br />Owne, `� __ _ � <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 />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 specifications as listed below. <br />, .— i" on r /,) , I <br />14 qa <br />Install plumbing systems: <br />Fee $ <br />Install <br />sewage disposal systems: <br />Fee $ <br />Repair <br />Install <br />water supply systems: <br />Fee $ <br />Repair, j .�—� <br />P t ��1� <br />Fee $ <br />Total amount paid to Village....... $ <br />Signature of applicant <br />Signature of Village Official <br />, a <br />