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Village Permit <br />Contractor l `l r"i �.�`r i Address i / �,k le_. <br />Owner f %L' % r_1 4',�C� [ �. �E Address t 1 `f �/�. �. f�%r'r� da <br />State License <br />Parcel No <br />Section No <br />Plat No. <br />Other Description: <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivision <br />Date/,r,2-f3— / <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: Fee $ <br />Install <br />sewage disposal systems: Fee $ <br />Repair <br />Install <br />water supply systems: Fee S— <br />Repair <br />Fee $— <br />Total amount paid to Village....... . <br />Signature of applicant <br />Signature of Vil,4e Official <br />