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Con <br />r <br />' State License <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />Village Permit <br />�A <br />Address <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivision <br />Da <br />z9%o <br />I 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 />._to.pl, /-d,rA4 s �� 41 - <br />, <br />Install plumbing systems: Fee $_ <br />Install <br />sewage disposal systems: Fee $ — <br />Rclxiir • <br />Install /I r Q <br />ssatcr tinp� Fee $ <br />Itelxur _ • ���' <br />- - Fee $ <br />Total amount ,xiid to Village....... $ <br />Signature of applicant <br />Signature of Village Official <br />;t <br />