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Village Permit Ng 2059 <br />Contractor � : Address <br />Owner � C l��b <br />A� ga -�+�0 AEI .re, s <br />State License N <br />Section No <br />Other Description: <br />Vol ge License ? <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota `'� / <br />Date�;Z/— <br />Parcel No. <br />Lot Block Subdivision <br />Plat No ---- <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 />&Z'v"water <br />//''II supply systems: Fee $L_�__ <br />Repair <br />--- Fee $— - <br />Total amount paid to Villagc........ <br />Signature of applicant <br />Signature of Village Official <br />U L71 <br />�� r <br />