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Village Permil No 1299 <br />ell <br />Contractor C a Address—Aet) L 0 <br />�� �.�_-c -�}... �{/1 Addres 1. t- � <br />Owner. �- — <br />State License No. ---__ _ Village License No.— <br />Parcel No. <br />Section No. <br />Plat No <br />Other Description: <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Dateir A <br />Lot_ _ _ Block Subdivision____ <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 />com�ly with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />Install plumbing systems: <br />Install <br />sc7Vagc disposal systems <br />RcvQir <br />�tattcr supply systems: <br />Repair <br />Fcc $__-- <br />FCC $ <br />F cc $1n0 <br />Fee S-- - ---- <br />Total amount paid to \ illagc........ <br />Siguaturc of applicant <br />Signature of Village Official <br />