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Village Permit <br />Contractor Ulm ty l d r F - Adder. <br />Owner r� , i �l 4 ,2Alek Address <br />State License No <br />Village License N <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date <br />Parcel No. <br />Section No Lot Block Subdivision <br />Plat No <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 systtms: <br />Install <br />sewage disposal systems: <br />Repair <br />Install <br />Repair ysteni water supl;15v s: <br />Fee $ <br />Fee $ <br />Fee $ '{ <br />L 'r red <br />Total amount paid to Villa <br />Signature of applicant <br />Signature of Village Official <br />