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Village Permil N! Isis <br />Contractor �! �/%i7�_/' Qom_ Address '5' Px <br />Owner— ►2 /� AddressCrr e- <br />State License <br />Section No <br />Other Description: <br />Village License N <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Parcel No. <br />Lot_ Bloch— 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 sewage disposal systems: Fee $ <br />Repair <br />Install <br />water supply systems: Fee $ _ <br />0--"T <br />Fee $ <br />Total amount paid to Village........ <br />Signature of applicant <br />Signature of Village Offi . I <br />