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State 'license No Village License No <br />Parcel No <br />Section No <br />Plat No <br />Other Description: <br />Village Permit N o ` - 3 212 <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot —_ BlockSubdivision <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 syste s: Fee $ <br />Install <br />sewage d' ee >} lJ • U <br />Repair <br />Install <br />water supply systems: Fee $ <br />Repair <br />)�J� Ce $ <br />Signature of applicant <br />Si ture of Village Official <br />Total amount paid to Vil ..... $ A%..1_� <br />