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Village Permit N" 1613 <br />Contractol;— 41."C'; tY C-/ go-, a /jti Address-2 �,_ C�.�� �. 1� �_�,;t4 <br />Owners ti'1£?►—Address J %)Z _ <br />State License <br />Section No <br />Other Description: <br />Village License <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Parcel NoA ?-A— <br />Plat No 4t2 y.1 _d <br />Lot Block Subdivision <br />o <br />Dat <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: <br />Install <br />sewage disposal systems <br />Repair <br />Install <br />water supply systems: <br />epair <br />Fee $ <br />Fee $ <br />Fee $ _ <br />Fee <br />Total amount paid to Village........ $�_�`� <br />Signature of appli It <br />Signature of Village Official <br />