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State License <br />Section No <br />Other Description: <br />Village Permit N' ? 2 2 6 <br />Address �'%� <br />Address <br />��5 / <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date <br />Parcel No <br />Lot Block- Subdivision <br />Plat No <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 />sewage disposal systems: Fee $ <br />Repair <br />Install <br />ter s ply systems: Fee $ <br />Fee $ <br />Total amount pai o Village....... $ <br />Signature of applicant <br />l� <br />Sign r of Village Offic' <br />C__r <br />i <br />