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*■ ' ' > <br />zf/zAj/U// t\iL'/r^<M <br />-tfi <br />Contactor Ij^t^Jl^iChU. .1 Address. <br />i\^lag« Pern# t <br />y)lt i''nAPiy .^ <br />• •% ^3035 <br />\ <br />Oma__~z?U,ll-4_to A ■(Address- <br />Vilhge license No. <br />GENERAL PERMIT <br />VILLAGE OF OBONO <br />Ciystal Bay. Minnesota <br />Parcel No. <br />Bkxk-Sobdivision- <br />Pht No. <br />Otlier Descriptioa: <br />■V <br />V ?1 hereby agree that, in ease a pennit is ganted, all work which shall be done and all materials which shall be used, shall <br />comply with the Village Code of Orono applicable tbaeto^ and shall include all additioaal spedficatioas as listed bdow. <br />'■ 'V.' <br />La <br />\/f/Ji <br />i ‘ <br />\ <br />\^1 <br />\ <br />\• <br />\...i * <br />\ <br />Install plumbing systems: <br />Install <br />Fee %.Signature of ap|dicant <br />Repair <br />Install <br />sewage disposal systems: Fee $---------------- <br />. /O.cZ > <br />Repair <br />water SI <br />A-hriT <br />Fee $L. <br />Fee $. <br />4.' <br />• <br />5^0 <br />Total amount paid to Village. <br />HP--------- <br />Signature of Village Oflkial <br />• /^'C