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Contractor UA <br />Owner - <br />State License No _ <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />7� I <br />- 0 J-,",( 1-21 AAAro-vc <br />Village License N <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivisi <br />Village Permit No <br />Date__1v <br />1399 <br />I hereby agree that, in case a permit is granted, all work which shall be done and a;' materials which shall br J, 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 />Repair <br />Install <br />waters pply systems: Fee $ _ <br />Repofr r� <br />_ Fee $_��r l� o <br />Signature .of applicant <br />Signature of Village Offi 'al <br />Total amount paid to Village........ $ <br />