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Village Parne 3157 <br />JI <br />Contractor Address <br />Owner. � s'e Address - <br />State License No. Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date — <br />Parcel No. <br />Section No-- Lot Block-- Subdivision <br />Plat No. <br />Other Description: <br />I hereby agree that, in c6, 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 />sewage disposal systems <br />Repair <br />Install <br />Repair <br />Fee $ <br />Fee $, Z-21 <br />Fee 0 <br />Fee $ <br />Total amount paid to Village....... $ <br />water supply systems <br />Signature of applicant <br />Signature of Village Official <br />