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Village Permit <br />Contractor Address____�� <br />Owner Address <br />rl.c r <br />State License No. Village License No <br />Parcel No. <br />Section No — <br />Plat No <br />Other Description: <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Bloch_ 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 />,ewage disposal systems: Fee $ _ <br />Repair <br />Install � <br />water s y syk ^Fee $ r' C <br />Repair -� <br />i n t Fee $— <br />Total amount paid to Village....... $ <br />Signature of applicant <br />Signature of Village Official / <br />