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Village Permit i <br />Contractor Ar 6.14'A Address <br />Owner -Address /O (- /1 P!/ G Cilv <br />117 <br />Statc License No. _ Village License No._ <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Cn•stal Bay, Minnesota <br />Date Z2, 7 O <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: <br />Install <br />sewage disposal systems <br />RclMir <br />Install ,tiJ��C- ,0 .lt . <br />water s <br />Itcpxait l <br />Fee $— <br />Fee $ <br />Fee $` n <br />Fee <br />Total amount paid to Village....... 49 <br />Signature of applicant <br />Signature of Village Official <br />j <br />