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Village Permit <br />. 3483 <br />Contractor <br />L /'. C= 1 r A 4 Address{ <br />s <br />r <br />I' <br />, <br />'114 <br />Owner = <br />Address <br />411370 - 3I <br />cJPvt►�n <br />State Licensc No. <br />Village License No -- <br />GENERAL PERMIT <br />� <br />VILLAGE OF ORONO <br />_ <br />Crystal Bay, Minnesota <br />Date <br />Parcel No. <br />motion No <br />Lot Block Subdivision <br />y <br />Plat No <br />Other Description: <br />,.z <br />3 <br />.1 hereby a$tec that, in rase 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 />Y <br />Install piyli'Ibing tems: Fee It <br />Install <br />sewage `� Fee $ <br />Repair <br />Install <br />r water supply systems: Fee $ <br />R#paii <br />1 <br />Fee $ s� <br />Total amount paid to Village....... !n -� <br />Signature of applicant <br />Signature of Village Official <br />r <br />