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Contractor_ <br />Owner <br />State License No <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />Village Permit <br />Address <br />Address <br />Village License <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivision <br />Date <br />4& <br />I hereby agr•x 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 />C"l)t_��� <br />Install plumbing systems: <br />Install <br />sewage disposal systems <br />Repair <br />Install <br />water supply systems: <br />Repair <br />Fee $— <br />Fee $— <br />Fee $ - <br />Fee $----_-- <br />Total amount paid to Village....... $ <br />Signature of applicant <br />Signature of Village Official <br />