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VNIage ParmH NS 2363 <br />5r <br />Contractor-Address- <br />Ownet.'7?mhorr\ 6 5 \Jo /I Jtr'j /y^^/ <br />Slate License No. <br />Address. <br />Vilh^ License No <br />GENERAL PERMIT <br />VILLAOE OF ORONO <br />Crystal Bay, Minnesota <br />Parcel No. <br />Section No-Lot. <br />Pht No. <br />OAer Description: <br />Subdivision <br />I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall <br />comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed bdow. <br />CJ.t <br />Install plumbing systerm: <br />Install <br />Fee 1.Signature of applicant <br />sewage disposal systems: Fee $. <br />Repair <br />Install <br />water supply systerm: Fee S- <br />P--Fc=$:^ <br />Total amount paid to Village..........$------ <br />Sigiuture of Village Official