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Village Permit 3 3 —09 <br />Contractor �� ✓"L'8'� Address <br />�t�n k..A-�.d _Address �i �� c f " 14 �_ ' �a �. A-0�U <br />Owner t, <br />i <br />State License No. Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date � C "- 17 <br />� <br />Parcel No. <br />Section No Lot Block— Subdivision <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 systems: <br />Install <br />sewage disposal systems: <br />Repair <br />Install <br />water supA sp <br />Fce $ <br />Fee $ <br />Fee $rn•© d <br />Repair <br />Fee $ <br />Total amount paid to Village....... $� <br />Signature of applicant <br />Signature of Village Official <br />t r' r'lrN <br />