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Contractor <br />Owner P. on - 2d �1-t-1 S <br />State Liccnse No <br />Parcel No. <br />Section No.__ <br />Plat No. <br />Other Description: <br />Village Permit No <br />Address 1 r7 c f r„ r "`�, fes. <br />AAArove ,26Sy 8- e.f <br />Village Licew c No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Iviinnesota <br />Date " <br />Lot--- -- Block-.----- - Subdivision--- -- <br />1931 <br />I hereby agree that, in case a permit is granted. all work which shall be clone 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 />Install plumbing systems: <br />Install <br />sewage disposal systems: <br />Repair <br />nsta <br />E.Wwa <br />Repair ter supply systems: <br />Fec $— — <br />lee $ <br />Fee $�"'D <br />Fee $— <br />Total amount paid to Village........ $- -- _ --_. <br />Signature of applicant <br />Signature of Village O tial <br />