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Village Permit N! 1748 <br />Contractor 0- ►'�O J_ Address <br />Owner ✓ - Addresses `>' J /-O ►^e s f' T ee <br />State License No. __ __ _ _ Village License No. <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date—Z ✓06-1 <br />Lot Block Subdivision—_— _ _ <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 />In <br />sewage disposal systems: Fee $_� <br />Repair <br />Install <br />water supply systems: Fee <br />Repair <br />Fee $--- - <br />Total amount paid to Village........ $-- <br />Signature of applicant <br />Signature of Village c•ial <br />l� m ;�iw -I' L - --- <br />