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Village Permit j <br />Contractor.....4 -j A ) Address <br />owner 027C5 fit , f G� <br />Address <br />State License No. Village License No <br />Parcel No. <br />Section No <br />Plat No. <br />Other Description: <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivision <br />Date /' Z), -7/ <br />1 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 belm. <br />Install plumbing systems: Fee $ Signature of applicant <br />Install <br />sewage diyrl� <br />Repair <br />Install <br />water s <br />Fee $ <br />Fee C. e- el <br />Signature of Village Official <br />Fee $—�� <br />Total amount paid to Village....... $ A • S n <br />d <br />0.7� <br />