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Village Permit No 912 <br />Contractor�- r:t4d' iLtr�_ _ — Address ' <br />Owner - 1" Address / L-?� <br />State (cense'No Village License No. 'i <br />�D <br />GENEkAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />DatZZ/- 4Vti :5 ~ _ <br />L Section NoParcel No. �Q _ �f"' `�♦ ' <br />� Lot Blocic_.i Subdivision e <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 />Install plumbing systems <br />Install <br />age disposal systems: <br />p jp&_ <br />Install <br />water supply systems: <br />Repair <br />Fee $ _ <br />Fee $ <br />Fee $ <br />Fee $-- <br />-7 <br />Total amount paid to Village....... $� _ <br />Signature of applicant <br />Signature of Village Otficial <br />