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� yJ <br />Village Permit <br />Contractor '1''a'r'-%1--)' � ,--,�.__ G� jl- p �i Addres4 L t..- <br />Owner h'C' (�C� ;�til,� C t�v -0 Address `TD D t� A <br />Stitc Ucensc No <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />Village License No. — <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivision <br />Date <br />3569 <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 $ <br />Repair <br />Install � <br />water supply systems: Fee $ /D n <br />Repair l <br />{ Fee $ <br />Total amount paid to Village....... $ <br />Signature of applicant <br />Signature of Village Official <br />