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Village Permit ? Z) i 3 <br />wm <br />Contractor Add 0 - <br />Owner <br />Owner Address <br />State License No. <br />Parcel No. <br />Section Nu <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 />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 time Village Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />Install plumbing systems: Fee $ <br />Install <br />sewage disposal systems: Fee $ <br />Repair <br />Install t,/ <br />water t Fee $.�L1—o <br />Repair <br />', / <br />Fee $// <br />Total amount paid to Village....... $j-'-" � <br />Gt��tti, Al Imo, �a . <br />Signature of applicant <br />Signature of Village Official <br />114 <br />