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Village Permit . '2 9 n 7 <br />Contractor AddressG. <br />Ownui / /4�� �. .f:� �n a.' Address ✓ (mil4 1 <br />State License No <br />Parcel No. <br />Section No. — <br />Plat No <br />Other Description: <br />Village License N <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot_ Bloch__ Subdivision <br />Date //— 9 .1� " 7 / <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 />sewage disposal systems: Fee <br />Repair <br />Install �.�', <br />water sN4lvisl-11- Fee $ a <br />Rc IX1 i 7 <br />u Fee $ <br />r- <br />Total amount paid to Village....... $ <br />Jnf !LA <br />/ r)- C)'4 <br />Signature of applicant <br />Signature of Village Official <br />o'o <br />