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Village Permit N° 2392 <br />Contracto13h A Address <br />Owner Address <br />State License <br />Parcel No <br />Section No <br />Plat No <br />Other Description: <br />Village License N <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivisi <br />Date .-� — L— 7 () <br />I hereby agree that, in case a permit is granted, all work which shall be clone 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 disposal systems: Fee $ <br />water supply systems: Fee $ <br />Repair <br />Fee $—_—_--- <br />Total amount paid to Village....... $— — <br />Signature of applicant <br />Si ature of Village Official <br />�4, 4=Z1'a6A- <br />