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Village Permit 3205 <br />Contractor �� Q'�"'L/ Com' Address - <br />iii n9 �-. � : it . r'1 �'v Address <br />Owner- - <br />State License No. Village License No.— <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Cn•stal Bay, 'Minnesota <br />Date 17_ 1 Z,0 ^ 7 Z <br />Parcel No.--- - <br />Section No. Lot--_ Block___-_- Sulxlivision -_ <br />Plat No. -.------ <br />Other Description: <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 system4: Fee $_ <br />Install <br />sewage disposal systems: Fee $__ -- <br />ItcI)air <br />o, <br />r � <br />water 11i4pp4 SsActw. Fee <br />Itclxur i <br />Fec $--- ......�.�L' <br />1,,t I i mmint Inid to Village <br />!� 7 Y d <br />Signature of applirant <br />Signature of Village Official <br />