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V'A@" ►ureal N! 2 l 9 S <br />CAMUCI r - s! l c t C` Mies_ _ <br />Stift lAmon Ns---- NAW Liccme No - <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crvchl Par, %Ijnnm*a <br />Pace] No - <br />secNo LD Block _ Subdivision <br />Plat No — <br />Otha Damption : <br />1 baeby apes that, in ase a permit is granted, all work which shall be done and all matcriah wbwh shall be used, sWI <br />comply with the Village Code of Oros applicable thereto, and shall include all additional sperificatioos as listed below. <br />Install plumbing systems: Fee S --- Signature of applicant <br />Install <br />sewage disposal systems: Fee S -- <br />Repair - - - -- ---- <br />/lnstaD <br />lz=---eater supply systems: Fee S- —=rA:2 <br />Repau Signature of Village 05ciel <br />-- _--- -. Fee S <br />-otal amount paid to Village....... $-_--- _—, �� j <br />