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Village Permit No 8 -0 4 <br />Contractor - Lit"L �L Address. <br />Owner � — ---- Address e <br />i <br />State License No. _._. --_ Village License No. <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, )Minnesota <br />Date�JL 1 y <br />Parcel No.-LY � P 1 ' � t V <br />Section No Lot— '_� Block /3 Subdivisio <br />Plat No-J-1- <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 />Install plumbing systems <br />install <br />sewage disposal systems <br />Repair <br />Install <br />it*-peir water supply systems: <br />Fce a---_ <br />Fee <br />Fee `;---- <br />Signature of applicant <br />Signature of Village Official <br />Total amount paid to Village....... 5-E-�___ _���_�_+ <br />