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Contra <br />Owner <br />_ - <br />L_--. Address__ <br />Village Permit No 976 <br />State License No. —__ __ Village Liccnu\o.�4�_�_�_ <br />CIA -, /i � (� 'V V - <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />-V /'I ---. <br />DatcA*z4f r W <br />No-6-444)Section No... Parcel NoLoBlock_______ Subdivision <br />Plat No.-- <br />Other <br />o. _Other Description: 6 q <br />I hereby agree that, in case a permit is granted, all <br />work which shall <br />be done <br />and <br />all materials which shall be used, shall <br />comply with the Village <br />Code of Orono applicable <br />thereto, and shall <br />include <br />all <br />additional specifications as listed below. <br />Install plumbing systems: <br />s 'age �posal systems: <br />Repair <br />I install <br />water supply systems: <br />Repair <br />Fee $-- <br />14 _ <br />14"cc $ __ <br />Fee $_--- - - --_ - <br />Signature of applicant <br />Signature of \'Illage Official <br />1'utal amomit paid to Village <br />