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.I A <br />Village Permit <br />Contractor - ,f ��' 2 Address <br />Owner � �; � ,'-'' a{ C. 7") .G 6/C Address <br />State License No. ---- Village License No. — <br />Parcel No.. <br />` ,Section No <br />1 <br />Plat No. — <br />Other Description: <br />GENERAL PERMIT <br />VILLAGE OF OEONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivision <br />Date <br />hoc . <br />1 hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall <br />icomply with the Village Code of Orono applicable thereto, and shall include all additional speci5cations as listed below. <br />i <br />1 ' <br />Install plumbing systems: Fee $ <br />Install f �, O <br />sew,.-e disposal vatbins: Fee $ <br />Rclrair <br />Install <br />water supply systems: Fee $— <br />Rcpair <br />-- ----- - Fee <br />Total amount paid to Village....... $ <br />Signature of applicant <br />Signature of Village Official <br />