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Village Permit N2 971 <br />Contractor /;,d — 'r�1 /& Addresser /-� L' no, <br />Owner Irlagam.,.4 _ Address <br />State License No Village License No. <br />oc /{ GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Parcel Nol: 7D �Q <br />Section No t 0 Plat No Lot-- — Bloc . Subdivision �. �,r�.. y.�.�+ ! - <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 <br />Install <br />sewage disposal systems <br />Repair <br />Repair supply systems: <br />Fee $ <br />Fee $ <br />Fee $- <br />Fee $_ <br />Total amount paid to Village....... $� "'� <br />Signature of applicant <br />Signature of Village Official <br />