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Ifillage Permit ' 3492 <br />Contractor -�3�1 — AddressT c. i <br />Address. <br />i <br />State License No <br />Parcel No. <br />Section No. — <br />Plat No. <br />Other Description: <br />Village License <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivisi <br />Date /-- - —� 7 - 7 2- <br />I hereby agree that, in case a permit is granted, all work which shall be done and aJ 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: <br />Install <br />sewage disposal systems <br />Repair <br />eta <br />water supply systems: <br />Repair <br />Fee $ Signature of applicant <br />Fee $ <br />Fee $_/ G • c f/ <br />Signature of Village Official <br />�L -- Fee $ <br />Total amount paid to Village....... $ <br />