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'A <br />L <br />.Village (Permit 2659 <br />Contractor CVC F- Address% 1�- <br />Owner ' ,� � �` Addressed �� d� X-[_. <br />State License No. Village License No <br />GENERAL, PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date <br />Parcel No. <br />Section No Lot Block Subdivision <br />Plat No <br />Other Description: <br />s <br />ya <br />1 hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, sha11 = f <br />comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />Install plumbing systems: Fce $ Signature of applicant <br />Install <br />sewage disposal systems: Fee $ <br />Repair --- — <br />1 stall- <br />�` water supply systems: Fee �i 1D `••�x�.« <br />Repair Signature of Village Official <br />--- Fee <br />Total amount paid to Village....... <br />S <br />