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Village Permil N? 1531 <br />rials %-hK'11 sliall boe uwd. %hall <br />%Pm1ficatitms as listed belo%% <br />")t <br />Contractor—if—ni&, <br />Owner------. <br />�--rt/ <br />Village Permit <br />Ir <br />n <br />Ad d ress jz <br />State I-Acelise No Village License No. <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bav, Minnesota <br />Date_�' <br />Parcel No <br />Section No Block Subdivision <br />Plat No.--- -- <br />Other Dc-scrilit)(HI: <br />r.. <br />3226 <br />0 <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 />coinply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />Install phimbing systems: <br />Install <br />Wwagc (lisix)%al systems: <br />RcPair <br />Fee $ - <br />Fee $ <br />Fey fr. er <br />Fec <br />'I"Otal amotult -W to vvbp ...... <br />Signature of applicant <br />SigmtUTC of Villar <br />.4 <br />