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w <br />r <br />Contractor �'L"-�� . L Address_ <br />Owner _. � w- Address-!94�2'n <br />State License <br />Parcel Nu <br />Section No <br />Plat No <br />Other Description: <br />_- Village I nse No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Village Permit N° 1560 <br />Qa �,., �- �ZM <br />Date- <br />Lot— Block Subdivision _ <br />I hereby agree that, in case a permit is granted, all work which shail 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: Fee_ <br />Install '— <br />Nsewage disposal systems: Fee $ -_ <br />Install <br />water Supply systems: Fee <br />Repair <br />- - -- - - -- — Fee — <br />Total amount paid to \ illage........ <br />Signature of applicant <br />Si nature of Village Offi=l <br />