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Village Permit N! 2092 <br />s)'f <br />Contractor Address <br />A -- <br />Owner. Nddress L'/ d(I C <br />State License No Village License <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date `�=';�. / — 6� <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 systems: Fee $ <br />Install <br />Repair sewage disposal systems: Fee $ <br />Install <br />Rwater sup y systems: Fee $ <br />epai <br />Fee $ <br />Total amount paid to Village........ <br />Signature of applicant <br />Signature of Village Offi al <br />