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ViOag# Pwmir NS 2318 <br />1 <br />Contnctor. <br />Owner. <br />rio ( lUc / L <br />f’ C^huVici^6Cr^ <br />Address. <br />Address-/i'l^YuMr D- <br />State license No.Village License No. <br />GENERAL PERMIT <br />VILLAGE OF OBONO <br />Crystal Bay, Minnesota <br />Sectim No,~Lot-M m 4 f DatCL.- 'ji <br />Subdivision. <br />Odier Descriptioa: <br />1 herdiy agree that; in case a permit is granted, all wnik which shall be done and all materials which shall be used, shall <br />comply with the Village Code of Orooo applicable dicreto^ and shall indode all additional spedficatioiu as listed bdow. <br />Install plumbing systenu: <br />Install <br />Fee $L. <br />sewage disposal systenu: Fee $. <br />Signature of applicant <br />Repair <br />water supply systems: Fee %JP ' *?.P <br />Total amount paid to Village..........$_ <br />Signature of Village 0£Bdal <br />i.l <br />k