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Village Permit , <br />r �"Address <br />Contractor <br />Owner l' her"-f/ I e L �f P r- Address A7�—I �:5— 4,41 <br />State License <br />Parcel No <br />Section No <br />Plat No. <br />Other Description: <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date <br />Lot Block Subdivision <br />I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall he used, shall <br />comply with the Village Code of Orono applicabic thereto, and shall include all additional specifications as listed below. <br />Install plumbing s%lstems: Fee $ <br />Install <br />sewage disposal systems: Fee $ —_ <br />Repair <br />Install <br />water supply systems: Fee <br />lte}xrir :�.�t <br />rT 1 Fee $ i L 0Cn <br />- <br />Total amount paid to Village... ... $ <br />Signature of applicant <br />Signature of Village Official <br />