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Village Permit <br />Contractor Address <br />Owner At' e - La 11. 2(, l Cyt^ I a Address <br />Statr. License No <br />Parecl No <br />Village License <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Section No Lot— Bloch Subdivision <br />Plat No. <br />Other Description: <br />Date 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 $ ' O <br />Repair <br />Install <br />water supply systems: Fee $ <br />Repair <br />Fec $4 <br />Total amount paid to Village....... $ <br />Signature of applicant <br />Signature of Village Official <br />