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Village Permit <br />Contractor t �' Address <br />Owner a- 4 C P I~ `S Address e - <br />State License No. <br />Parcel No <br />Section No <br />Plat No <br />Other Description: <br />Village License <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivision <br />Date <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 />r <br />Install plumbing sy5tcros: Fee $ Signature of applicant <br />Install <br />sewage disposal systems: Fee $ <br />Repair <br />,4'nstaU-. �o i <br />water supply Fee $ <br />Repair <br />L i, ;•,, r.. r - , �t Fee $ f� a <br />Total amount paid to Village....... $in it. t ( r— "� 1 0 D <br />- <br />Signature of Village Official <br />