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Village Permit _ t <br />Contractor�o " /���-- t �� r - �-' Address7—/ 61-- <br />Owner �' — AddressPAL <br />-' `---3 <br />State License No. Village License No <br />GENERAL PERMIT <br />Parcel No._ <br />Section No <br />Plat No. <br />Other Description: <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot— Block Subdivision <br />Date <br />I hereby agar 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, .ind shall include all additional specifications as listed below. <br />Install plumbing systems: Fce $ <br />Install <br />sewage disposal systems: Fee $ _ <br />Re r <br />Instj� <br />water supply systems: Fec $ <br />Repair <br />Fee <br />Total amount laid to Village....... $ <br />Signature of applicant <br />Signature of Village <br />