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---`-- .uuic�a ' � '_— ' <br /> t.' _ � 4' I I � o� <br /> i 'I � <br /> Owner l C_. �� + Q. .f .L� �{ `� . / �,� <br /> _� ✓� ��i � U Addresc l' �� �/ � ( !-''1C�../L��`►� <br /> � <br /> :i <br /> State License No Viliage License No <br /> � GENERAL PERIV�IT <br /> ' , VILLAGE OF ORONO <br /> Crystal Bay, 1�Sinnesota <br /> Date � � �' � — " <br /> Parcel No <br /> Section No Lo�— Blo�1� Subdi�zsion <br /> Plat No <br /> Other Description: <br /> I hereby agree that, in r,�se a permit is granted, all work which shall be done and all materials which sliall be used, shall <br /> comply with the Villagc�Code of Orono applicable thereto, and shall include all additiona] specificat:ons as listed below. <br /> / , <br /> t-��-- �(.� {��-- -z7 <f/��✓J--4�s� ' � ' `.l'_ ,�� <br /> s . <br /> I��"Plumbing systems: Fee $ Signature of applicant <br /> I <br /> k`t�`sewage disposal systems: Fee $ <br /> R��� <br /> Install <br /> � - ter su ply systems: Fee $ <br /> �e��r;� " /�, � � Signature oE Village Qi�cial <br /> -_��L�—Q �,�� �' Fee $_ •`� r y. % � <br /> . iCc ���� � <br /> �I'oJ����amount paid to Village.... ., . � _` ���� <br /> -.�;::.�: <br />