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Village Permil N° 1363 <br />Contractor- LAdd <br />�—r <br />Owner-1f J Al>>, z ��_�� Address <br />State Uccnsc No Village License No <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 4 <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 />R it water supply systems: Fee $ _ <br />Fee $—,7— <br />Total amount poid to Vile ....... <br />Siguaturc of applicant <br />Sigiuturc of Village Official <br />1 <br />