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State. License No. <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />Village Permit 13 <br />Address <br />J <br />Address' <br />Village License <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal gay, Minnesota <br />Lot Block Subdivisio*+ <br />Date — <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 />Repair <br />Install /! / /'"o O e, <br />water s�pply systems: Fee $ - /0/ -, <br />Repair 5 G' '�-`�y +Signature of Village Official <br />Fee $ l> <br />Total amount paid to Village....... $ <br />