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Contractor Address <br />Owner Addrcss-- <br />State LiceirNe <br />Parcel No. <br />Section No <br />Village License No. --- <br />GENERAL PERMIT <br />Plat No. <br />Othcr Description: <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot— Block----------- Subdivisl0li <br />Village Permif N2 1156 <br />I'ate <br />I hereby agree that, <br />in case a lxrinjt is granted, all <br />work which <br />shall <br />be donc <br />and all inatcrials which shall <br />be used, shall <br />comply with the Village <br />Code of Orono applicable <br />thereto, and <br />sliall <br />include <br />all additional specifications as <br />listed Wow. <br />Install plumbing systuils: <br />Install <br />s"'il ge disposal systciiv, <br />Repair <br />Install <br />water supply s)-stcnis: <br />Tutal amount Paid to \'Illagc. <br />Fcc � <br />Fec $ - <br />Signature of applicant <br />f7 <br />Fee $ <br />Signature of Village: Official <br />Fee <br />X <br />