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Village Permit N" 1368 <br />Contractot��l �.� G'.7 <br />r Address —4 <br />Owner-Addressh.0 <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 />Crystal Bay, Minnesota <br />Date— / v' <br />Lot--_. Block Subdivision ___ -____ <br />I hereby agree that, in rase a pen»it 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 disposal systems: Fee $ <br />Repair <br />Install <br />water supply systems: Fee $ - <br />Repai�11 <br />✓j �// <br />fg D Le_ +_ _ Fee $ <br />Total amount paid to \'illagc........ $ <br />Signature of applicant <br />I toi, <br />Signature of Village Official <br />