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Village Permit N 2 2379 <br />Contractor / `1�' �✓ Address <br />Owner ,-Y_Addres <br />State License No Village License <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Parcel No <br />Section No <br />Plat No_ _ <br />Other Description: <br />Crystal Bay, Minnesota <br />Lot Block Subdivision <br />Date-f:t----- 70 <br />I hereby agree that, in rase 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 />n <br />Install plumbing systems: <br />Fee $ <br />Install <br />sewage disposal systems: <br />Fee $ <br />Repair <br />Install <br />ter supply systems: <br />Repair / <br />Fee $ <br />a <br />Fee $— — <br />Total amount paid to Village....... $ <br />r. <br />Signature of applicant <br />Signature of Village OEfic' <br />`%2! 4e_ _� <br />