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'!l <br />Village Permit ,� ,; j <br />Contractor 7L, �'�� Addr''1 <br />Owner Ae • •ess <br />J� 41-4- <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 />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 />- 1/ '7 / <br />Install plumbing systems: Fee $ <br />Install <br />sewage disposal systems: Fee $ <br />Repair <br />Install <br />Repel,�7 ter sup ly systems: Fee $ <br />Fee coo <br />Total amount paid to Village....... $ <br />Signature of applicant <br />Signature of Vi gee Officgl <br />'"� w <br />