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Village Permit N° 1684
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Stutc License No. __— _— _ Village License No.
GENERAL PERMIT
Parcel No.
Section No
Plat No
Other Description:
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivision
Dat147
I hereby agree that, in case a permit is granted, all
work which
sl)ai',,
be clone
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:
Install
Repair sewage disposal systems:
Install
water supply Systems:
C"Repaif. ,
Fee $
Fee s
Total amount paid to Village:........ $_ _.
Signature of applicant
Signature of Village Official