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State License No. r — Village License No.
r �.�I iia S
Section No
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Parcel No. ---
Plat No -
Lot --
o
Lot—.— Block_ Subdivision
Village Permit N2
Da to
1069
I hereby agree that, in case a permit is granted, all
work which shall be done
and
all materials which shall be used, shall
comply with the Village
Code of Orono applicable
thereto, and shall include
all
additional specifications as listed below.
Install plumbing systems: Fee
Install
sewage disposal systems: Fee $
Repair
Install
water supply systems: Fee $ -
Repair -
_ Fee $
otal amount paid to Villagc....... $
Signature of applicant
Signature of Village Official