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Village Permit N o 2 1 6 2 <br />Contractor / <br />Address �. <br />Owner ... <br />�`'t-rO Address <br />State License No <br />Section No <br />Other Description: <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Parcel No — <br />Lot Block-- Subdivisi <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 nhinibing systems: Fee S <br />Install �yL <br />sewage disposal systems: Fee $_ <br />Repair <br />Install <br />Repair <br />water supply systems: Fee $ <br />---- - -- Fee $ -A—d _ <br />Total amount paid to Village....... $� <br />Signature of applicant <br />Signature of Village Official <br />