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t <br />Village Permit <br />Contractor 14 ' l ' dA0 40 W Acldres / <br />1 <br />Owner /? �' _ �J1..�L Addrr <br />/l ywsno 111rurofl <br />State License No. Village License No, <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date /,' ` / 4 " ? Z'' <br />Parcel No. <br />Section No Lot— Block-- Subdivision <br />Plat No. <br />Other Description: <br />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 ` <br />Sewage ChA fL.4L;.: Fee $ Z n C <br />Repair <br />Install <br />water supply systems: Fee $�- <br />Rclxiir <br />Total amount paid to Village....... $_ <br />Signature of applicant <br />Signature of Village Official <br />