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Village Permit N2 819 <br />Contractor LGf�--r Address-y,a � �� _ <br />Owner.B", M .% - _---- Address-4/a (3 0x -�— ---- <br />State License No. ___ ___ Village License No. _ <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date �7- "2"/ J� S' <br />Parcel Nob '!!L- 1- D 1 Q <br />Section No �— Lot�,Q Block-tl` _ Subdivision <br />Plat No. �L� <br />Other Description: <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 $ _ Signature of applicant <br />Install <br />sewage disposal systems: Fee $.�--- <br />Install <br />water supply systems: Fec <br />Repair <br />Fee $ _ Signature of Village Official <br />Total amount paid to Village....... $7 <br />