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Village Permit N 2 2543 <br />Contractor �'� ^�� �W Address'� <br />Owner '` J�ta'*4—, _ Address Q �✓`' ej 4-al, <br />State License 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 />Z / - '1 Q <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 />ns <br />water supply systems <br />Repair <br />Fee $ / n " n <br />Fee $ <br />Total amount paid to Village....... $ <br />Signature of applicant <br />Signatu <br />re <br />of Village Official <br />