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Contra <br />Owner <br />State License No. <br />Parcel No. <br />Section No — <br />Plat No. <br />Other Description: <br />Village Permit " ;'' 2602 <br />Address— <br />Nddress <br />X illage License <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot— Block — Subdivisio <br />Date—a — d—, '70 <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 />1 U <br />Install plumbing systems: Fee $ — <br />Install <br />sewage disposal systems: FLc $ _ <br />Repair <br />Install <br />water s Fee $_L*I--!__ 0. <br />- SLLdC1�L. Fec--- <br />� <br />Total amount paid to Village....... <br />��r 14,_�� <br />Y7 •S <br />Signature of applicant <br />Signature of Village Official <br />