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Contractor_-
Owner State Inrcesc zom
Parcel No.
Section No
Plat Nc
OIAcr Lhicril tion:
Village Permit N' 1390
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6
Villase License No. —
GENERAL PERMIT
VILLAGE OF ORONO
Crystal ga}, Minnesota
Date / Ph �
Lot_- Block_--- Subdivision --
I
I hereby agree that, in case a Mmit is granted, all work which shall Ix doiie and all materials which shall be used, shall
comply with the Villagc Code of O(QIIO applicable thereto, and shall include all additional specificatium as listed below.
Install plumbing s)Itcrns: lee S_
Install ��
Repair
sc�c.:gc dupc)sal systems: Fee ;----�_—
Install
Repair water su s)stcros: Fee S
Mee
Total amount paid to Villagc........ $�U
Siguatuic of applicant
Signature of VillNIcTivI