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Village Permit N 2 2191 <br />l <br />l j—� f ` <br />Contractor jf / < (, Address <br />Owner V v& Y-I, u• a I Address `'� « N t <br />State License <br />Section No _ <br />Other Description: <br />Village License N <br />GENERAL PERMIT <br />Parcel No <br />Plat No <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivision <br />Date I— 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 />Install <br />ter supp y systems: Fee $ <br />R i /. <br />'e Fee $__L <br />Total amount paid t i Village....... $ <br />Signature of applicant <br />Signature of Village Official <br />