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Village Permit <br />Contractor Address <br />C <br />Owner 0 6L� <br />Address <br />State License <br />Parcel No._ <br />Section No <br />PlatNo. <br />Other Description: <br />Village License N <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 />Install plumbing systems: Fee $ <br />Install <br />sewage dispusal Fee $ <br />Repair <br />Install <br />water sttIMAY Fee $ <br />l(clyair <br />Fee $ <br />Total amount paid to Village....... <br />Iva Jim /it4 4-A, <br />-4 <br />2 <br />Signature of applicant <br />Signature of Village Official <br />I <br />U <br />