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��+'`�. ':,,.N,� i' � � . •.,�,, �,. � ,r+„:,,.....a-, :.III; <br />8' `L <br />' V9 P.mit ' 3335 <br />Contractor ro Address <br />n <br />Owner- r4 Address Aa <br />State License No. �' Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Parcel No. <br />Section No <br />Plat No. — <br />Other Description: <br />Lot— Block_ Subdivision <br />Date J 7/ <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 r' <br />_s.}1ste�r Fee $ � � <br />Sewage dispe�sal <br />Repair <br />Install <br />water supply systems: Fee $ <br />Repair <br />Fee $ <br />Total amount paid to Village....... $1�! .LS>✓ <br />Signature of applicant <br />Signature of Village Official <br />