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Village Permi! Ng 127 3 <br />Contractor.2fc <br />Owner. <br />(I <br />P. D> <br />State License No, <br />./ <br />Address__________________________________________ <br />Address. 3 ^ ^ _ <br />Village License No, <br />Section No. <br />Other Description: <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Parcel Nr. <br />Plat No <br />Lot.2 P'^*/Block.Sulxlivision <br />Date <br />n <br />3^ <br />Ui&— <br />I herein agree that, in case a pennit is granted, all work which sliall be done anu ai i‘eT.;i . whuh oiiail be used, shall <br />comply with the \'illagc Code of Orono applicable thereto, an^ »iiall include all additional specifications as listed below. <br />Install pluinbing systems:I'CC $. <br />Install <br />sewage disixjsal svstems: Kec $. <br />Repair <br />Install <br />water supply systems:Repair I‘ce $. <br />"OrU<-f Fee <br />Total amount paid to V illage............. $__ <br />Signature of applicant <br />1 \ ^ <br />Signature of V'illagc Official <br />I' / <br />U