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Contractor. <br />Owner-_-- <br />State License No. <br />Section No,3 L <br />Other Description: <br />Village Permit N2 622 <br />Address_ <br />Address � �-- 3 r/ <br />Village License No..2-- _ <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />DateVj-,6 <br />Par.:el No 1115 n � `�,�I q'� <br />Plat No Lot_ Block Subdivision <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 />Repair sewage disposal systems <br />Install <br />water supply systems: <br />Repair <br />Fee $-- - <br />Fee <br />Fee $-------- <br />Fee $-- <br />Signature of applicant <br />Signature of Village Official <br />O O ` <br />Total amount paid to Village....... $;L— _ <br />