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Village Permit N° 1728 <br />Cowractor �" � � Address <br />VlAr✓" t <br />Owner Addressr� <br />�e <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— Bloch—_ Subdi <br />I hereby agree that, in rase a permit is granted, all work which shall be done and all materials which shall be used, still <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 />Repair sewage disposal systems: Fee $ <br />Install <br />water s pply systems: Fee $ _ <br />Repay <br />Fee $ <br />Total amuunt paid to Village........ $ <br />Signature of applicant <br />Signature of Village Official <br />4 me A <br />,`I je�---- - <br />