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Village Permit - `' 4 <br />'i <br />l 1 <br />Contractor Address <br />Owner k 4 C• L -L2.. � 41.2-rkt Address � (" l <br />State License N <br />Parcel No. <br />Section No <br />Plat No. <br />Other Description: <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot_ Block_._ Subdivision <br />Harp <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 ,Villa77rg--e Code of Orono applicable thereto, and shall i lude /a`ll addi i -inal specifications as listed below. <br />l/ /) t (J1— ZOL U <br />— / # lC . ('r PfuA <br />Install plumbing systems: Fee <br />Install <br />sewage disposal systems: Fee $ <br />Repair <br />lnstall <br />water supply Fee ^ O <br />Rclx� it <br />Fee $ 1C C t, <br />Total amount paid to Village....... $�.L1 n <br />Signature of applicant <br />Signature of Village Official <br />