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Village Permit N2 1182
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Village License No..
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
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Section No,
Parcel No.
Plat No_
Lot Bl(x’Subdivision
Other Description:
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I hereby agree that, in case a petmit is granted, all work which shall be done and all materials which shall be used, shall
comply with the V'illagc Code of Orono applicable thereto, and shall include all additional specifications as listed below.
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Install plumbing systems:Tee $.Signature of applicant
Install ,sewage disjHJsal ss'stcms:
Repair
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Install rater supply systems:Rcp.iy3^
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Fee $.Signature of \ illagc Official
Total ainount paid to V illagc ............ S-------—7y^