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TV t. V <br />0y ’' ■ <br />Village Permit u2 3096 <br />Contractor. <br />a <br />Owner-L^ <br />AHct ress.f' * s <br />Address.^/.4s~ />- £/ <br />I <br />1 <br />State License No..Village License No. <br />^ • <br />i. <br />•*.. i.GENERAL PERMIT t: <br />Wt ^ <br />, % <br />.'t <br />'■■S-.u <br />s <br />%■ <br />. <» <br />V: <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />/ <br />^ r 2^ <br />Parcel No, <br />i^ Hon No,Lot Blodc.Subdivision. <br />Plat No <br />Other Description: <br />1 hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall <br />comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />__________%n<r^-j-x>______________ <br />od,i£iiiL <br />• 1 ^ <br />> J <br />■M \ <br />Install plumbing systems: <br />Install <br />1 cc \Signature of applicant <br />' if” <br />sewage disposal sptems: Fee $ <br />Kepuir <br />ln*>(.iil <br />water fiui>|>ly sysfcfiis: <br />Repair <br />Tot ill uniouiit paid to \'iH.igD <br />K«s $ ^ <br />................. <br />Signature ol Vtlla§^ Official <br />-'*•*------*—