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Vitlaga Parmif NS 2494 <br />Contractor.tf/i/d . hf/ /f Address <br />Z’i Owner L'<Cm)pL^j£>.• t A . 'Uv'ti ^uahpt <br />State License No <br />Addres! <br />Village License No <br />H <br />GENERAL PERMIT <br />VILi.A6E OF OBOHO <br />Crystal Bay, Minnesota <br />i <br />DateL <br />.;ii <br />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 witii the Villagp Code of Orono applicable thereto, and shall include all additional speciBcaHons as listed below. <br />I <br />Install [dumbing systems: <br />Install <br />Fee $L Signature of applicant <br />Repair <br />sewage disposal systems: Fee $. <br />Repair <br />water supply systems: Fee \ O'Q. <br />Tobil amount paid to Village. <br />Fee $. <br />.... $.