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Village Permit <br />Contractor lV 2- �-' Address �' �� 1C e" " <br />n <br />Owner / Address <br />State License No. Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date <br />Parcel No. <br />Section No Lot— Block Subdivision <br />Plat No. <br />Other description: <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 />Install plumbing systems: Fee $ <br />Install <br />sewage disposal systems: Fee $ <br />Rcpair <br />Install r ,,, d <br />Hater snpply systems: Fee $_ �__—_ <br />Rcp►ir <br />t r <br />Fee $ /�� <br />'Total amount paid to Village....... $_�:.r- <br />Signature of applicant <br />Signatnrc of Village Official <br />