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m. r\ <br />>r \Village Parmit . 3545 <br />r, <br />^ V <br />Contractor. <br />Owner. <br />IaJ^lx..A„>^Address. <br />Address.'-^'7n M^/y. Pf <br />State License No.Village License No. <br />GENERAL PERMIT % <br />■.•*f <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />n..> <br />Section No. <br />Parcel No. <br />Plat No- <br />Subdivision. <br />Other Description: <br />" I I hereby agree that, in case a permit is granted, all work which shall be done and all materiab which shall be used, shall ^ <br />comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed bdow. <br />%- <br />Install plumbing systems: <br />Install <br />Fee $.Signature of applicant <br />Repair <br />Install <br />sewage disposal systems: Fee $. <br />Repair <br />water supply systems: Fee $. /<? <br />Fee $. <br />Signature of Village Official <br />Total amount paid to Village..........Vh'/3 mliiiliAy W 'Pf . <br />k.