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Village Pet.. + ' <br />Contracto zooy Address <br />i <br />Owner__ ..:� � GL w– 1�—L � Address <br />State License No. <br />Parcel No <br />Section No <br />Plat No. <br />Other Description: <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crusta) 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 Codc of Orono applicable thereto, and shall include all additional specifications as listed below. <br />-------- -- - -- -- - --- F all 38 9- S" -,h <br />Install plumbing systems: Fee $ Signature of applicant <br />Install <br />sewage disposal systems: Fee $ <br />Repair- - --- -- --- – ---- ---- <br />Install,� <br />water supply Fee .� <br />Rclxiir d P Signature of Village Official <br />71 <br />Total amount paid to Village....... s'., <br />