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Village Permit ; . 3 ' 2 7 <br />-,((rAddress— <br />Owner.f <br />Contracto <br />u r <br />,L�t, �f fit/ /��1 . y C r� Address <br />State License N <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 />Lot_ Block— 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 />P <br />N <br />Install plumbing systems: <br />Fee $_L` <br />Install <br />sc%%2ge disposal systems: <br />Fee $ <br />Repair <br />Install <br />water s4pk <br />Fee $ Zd C � <br />Repair <br />-- <br />�'A �_Q . <br />Fee <br />Total amount paid to Village....... <br />$ Cep <br />�0 <br />�} n <br />—14 <br />Signature of applicant <br />Signature of Village Official <br />