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Village Permit No ' 667 <br />Contractor �_,Cl.�.�---- Address-- --- �_ <br />Owner I _—_—.-�- <br />State License No _ <br />Section No_= <br />Other Description: <br />Address -- -- <br />Village License No. <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date Ziz_ <br />Parcel NoS-L�Q-0 <br />Plat I'0� ZY� ----- Block__ Subdivision 2'o ram <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 r� yid <br />_sewage disposal systems: FeeRopor <br />Install <br />water supply systems: Fee <br />Repair <br />FCC <br />�j S`D <br />Total amount paid to Village....... $-1.'""'" <br />Signature of applicant <br />Signature of Village Official <br />