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1870 <br />Village Permit No <br />Contractor_ Address <br />Owner_ -.._ _` Address <br />State License No <br />Parcel No. <br />Section No <br />Plat No. — <br />Other Description: <br />Village License No. <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota ��%% <br />Date-1_� <br />Lot---- Block_ Subdivisi <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: Fee $ —_ <br />Install <br />sewage disposal systems: Fee $ <br />Repair <br /><'-'- water supply systems: lee $ �- <br />Rcpair <br />-- Fee $— <br />Total amount paid to Village........ <br />Signature of applicant <br />Signature of X liiabc CIFOai <br />