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Village Permit ti <br />Contractor �t A. <br />Address __7 <br />Owner t Address 5 J - eA 71 O c�. <br />4//33C. sao <br />State License No. — Village Lice-ise No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Parcel No. - <br />Section No <br />Plat No. <br />Other Description: <br />Lot_-- Block _ ____-_ Subdivisici. - <br />Date / - 7 — '7 Y <br />I hereby agree that, in case a permit is granted, all work which shall be done and all materials which sr- , sed, shall <br />comply with the Village Code of Orono applicable thereto, and shall include all additional specification s :,sttd below. <br />30-) Yl3 <br />Install plumbing systcros: Fee $ Signature of applicant <br />I` Install <br />sewage s: hex $ ! p' . C 0 <br />Repair -- ---- <br />Install �� l�,_� <br />water suppy. r Fee $Ir�--Ce <br />Repair Signature of Village Official <br />nt Fee $ l' 0 1 11 <br />Total amount paid to Village....... $ 0 _7 ! 1 t- k•'r.• t,"�' �1(�& V <br />