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Village Permit No 1512 <br />r <br />Contractor F L2��_ _ Address — <br />Owner 61, Q fi Address ` f -2 c re J--i "' <br />State License No Village Licensc No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Dat y <br />Parcel No. <br />Section No Lot Block Subdivision—____—_ <br />Plat No <br />Other Description: <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 />Inst-11 plumbing systems: <br />Install <br />sewage disposal systems: <br />Repair <br />Install <br />_--ti water supply systems: <br />Fec $ Signature of applicant <br />Fee $ _ <br />Fee $�.L a - <br />Fee $ <br />Signature of Village Official <br />Total amount paid to Village........ $— - -- -- - <br />