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Village Permit N2 _,..9143 <br />Address 3 1'�* <br />Village License No. ? S <br />Contractor -- <br />Owner — <br />State License No. <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Parcel No. G' <br />Section No.—` — Plat No. Lot—_ _ Bloch_ Subdivision <br />---- <br />Other Description: <br />'-;_!.)-D 7-r� _-44:7c� <br />I)atc__1 rlf <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: lee $ <br />Install <br />sewage disposal systems: Fee $ <br />Repair <br />Install <br />water supply systems: Fee $.�--- <br />Fee $-- <br />Total amount paid to Village....... j — <br />Signature of applicant <br />Signature of Village Official <br />