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Village Permit No 1020 <br />Contractor -� -LT--- Address4_,24 a A <br />Owner—K,aQ�,u------------- Address _ <br />-r- PL v ^ AO 7Y <br />State License No. Village License No. _ _ <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />bate <br />Parcel No. 7 j <br />Section No 6 _ Lot --- Block_ Subdivision <br />Plat No.--�� - — <br />Other Description- T. I I � _ Q 23 <br />tt�� c� <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: Fce $— _ <br />Signaturc of applicant <br />Install <br />Repair <br />sewage disposal systems: Fee <br />-------- ---------- <br />Install <br />water supply systems: F $ <br />Repair �,�'.�- <br />�, Fee r Signature of Village Official <br />Total amount paid to Village....... $1Q, <br />