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Village Permit No 1370 <br />ContractorC(AA A <br />/wy _ __—_ _ Address <br />Owner v /1 C'r t c'7 S Address K h uJoo t <br />State License N <br />Parcel No <br />Section No <br />Plat No <br />Other Description: <br />Village License No <br />GENERAL PEkMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivision <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 $ <br />Install <br />sewage disposal systems: Fee $ <br />Repair <br />Install <br />In <br />�Wwater supply systems: Fee $ _ <br />" �& Fee $�' J O <br />Total amount paid to Village........ $-- _ -- <br />Signature of applicant <br />Signature of Village Official <br />c� - <br />