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Village Permit N2 1098 <br />Contractor Address <br />Owner - �-� ,3 c. 1�- 1 C ` t Address 1 - r �l't )t <br />J <br />State License N3 Village License <br />GENET kL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />DateZZ'/ - <br />— <br />Parcel No.— J 1 <br />Section No — Lot—___ Bloch Subdivision__�___E-'�' '� � lrn=,l t9e, <br />Plat No <br />Other Description: <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 $ _ Signature of applicant <br />Install <br />seviage disposal systems <br />Repair <br />sta <br />ter supply systems: <br />rr <br />Fee $-- <br />Fee $ lr� In <br />Fee <br />Total amount paid to Village....... $ If", r- <br />Signature of Village Official <br />