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Village Permit t i <br />�n � j <br />(:nn Merfnr a I'Y� .F�'� �' 31..� f (C-f/1'1 �-u l • .. ,/ . "• 7 i' . <br />ot <br />Owner Address <br />State License No..____. _ Village License No — <br />Parcel No. <br />Section No <br />Plat No. <br />Other Description: <br />GENERAL PERMI`r <br />VILLAGE CF ORONO <br />Crystal Bay, Minnesota <br />Lot— Block__ Subdivision <br />Date /— /9 7 Z — <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 Cod:- 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 $ r^ r <br />Repair <br />Install <br />water upply systems: Fee <br />Repair <br />-- Fee <br />Total amount paid to Village....... $ <br />Signature of applicant <br />Signature of Village official <br />A <br />