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,, .,Village Permit i`':? 2827
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Contractor—_ �-� ( 'xYl f l��" y� (i S ¢ „ padres
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�1 Address_ �- C �c��44 I (Z7-:
.4 State License No.
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
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Dat ' / 7— 7/
x Parcel No
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a, Section No Lot__ Block________ Subdivisio
f, Plat No
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erDescription:
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I hereby agree that, in case armit is
pe granted, all work which shall be done and all materials which shall be
shall
',.:1';‘-,::: comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed used,
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R *r . Install plumbing systems: Fee $__
Install Signature of applicant
sewage disposal systems: Fee $_
Repair
Install
water supply systems: Fee $_____
Repair`
Air� Fec ft 1, Signature of Village Official
$ /(� , ) c
.1 Total . .... 4411. . .e $ - C1 Z /c LLt f L C.t1
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