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Village Permit y j <br />Contra6or <br />�� cv CV l ( Address-C -F-lCzL <br />Owner. ,'; 1l % �� Address_. -It <br />State License No. _ Village License No. <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Blorlc Subdivision <br />Date `--' <br />/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: Yee $ <br />Install <br />sewage disposal systems: Fee $ <br />Repair <br />W*CT supply systems: Fee $--1� <br />Repair/ <br />111 Fee $ — <br />Total amount paid to Village....... $ <br />Signature of applicant <br />Signature of Village Official <br />