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Village Permit No 957 <br />Contractor Rt <br />Owner __-- -- _-_ . _ _-- Address_+ — <br />State License No. _— __- Village License No.,;4 7 <br />GENERAL PERMITj�,,,�. <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date—W—V ; <br />Parcel N'T'� _ <br />Section No.� Lot.-- Block__ Subdivision Q - <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: <br />Install <br />sewage disposal systems <br />Repair <br />Install <br />ter supply systems: <br />Fcc S— <br />Fee $ _--_— <br />FCC <br />Fee <br />Signature of applicant <br />Signature of Village Official <br />Total amount paid to Village....... 5r-- -_ ---- - _ — t: _ _ <br />