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,Village Permit � - 55 54_. <br />Contr,rctor u Address <br />Owner ice, Address /ram lam, <br />r <br />State License No <br />Village License <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />i <br />Date r .�— / 3 <br />Parcel No. <br />., Seetion No Lot Blom Subdivision <br />4 �� ....,. Plat No <br />. f Other Descriphart: <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 />390 614L <br />Y y <br />t. <br />InstAl plumbing systems: Fee $ Signature of applit*nt . <br />I+ <br />Install <br />sewage disposal systems: Fee $ <br />Repair <br />ti <br />Install <br />water W,Fee $ 0 <br />Repair _ <br />�.-� � Signature of Village Official <br />LiA (( Fee <br />Totaamount paid to Village....... $�•_sL_Sl *` <br />i4k, <br />'7 <br />�1 <br />