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Village Permit � ! : = 3 321 <br />Contractor l Address /I.L_ . <br />r <br />Owner Address_ <br />l <br />State License No <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />Village License No <br />GENERAL PERN'.14T <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />t <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 />Install plumbing systems: Fee $ <br />Install <br />sewage disposal systems: Fee $ ' C' J <br />Repair <br />Install <br />water supply systems: Fee $ <br />Repair <br />Fee $ <br />Total amount paid to Village....... $ <br />Signature of app',icant <br />Signature of Village Official <br />- if , '�•., - ' �� � ll E � �C '�...� i <br />