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Irn W <br />Y. <br />, qf�. <br />-4 <br />n q <br />Vilimp Permit i, 0 i 4 <br />Contractor Address <br />7"Y el,# I't <br />Owner t4_ Address <br />State License No. Village License No '44 <br />Parcel No <br />AL lim No <br />plat NO <br />L--- . Other Description: <br />GENERALPERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date — 7 1 <br />Lot Block— Subdivision <br />I hereby agree thatjn,case a permit is granted, all work which shall be done and all materials which shall be used, <br />comply with t,beVillage Code of Orono applicable thereto, and shall include all additional specifications as listed bd6w. <br />f <br />C <br />N-- <br />6� <br />J. <br />71 <br />Install plumbing systems: <br />Fee $ <br />Install <br />sewage disposal systems: <br />Fee $ <br />Repair <br />Install <br />— . *water supply systems- <br />Fee $ <br />Rcpq#j tj <br />Fee <br />Total amount paid to V012e ...... <br />$ <br />Signature of 4plicant <br />Signature of Village Official <br />r <br />