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y}.►...� <br />n. <br />v . 39-95 4 <br />i <br />i <br />Contractor �` �-1 t D Addres <br />y7 <br />Owner. /'1C? —. Yl')'1 ti & Addressp <br />State License No. Village License No i <br />Parcel No._ <br />Section No <br />Plat No <br />Other Description: <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot— Bloch 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 s; ail include all additional specifications as listed below. <br />Install plumbing systems: FCC $ _ <br />Install <br />sewage disposal systems: Fee $ <br />Repair <br />Install <br />water supply systems: Fee <br />Repair <br />l�. Fee $ <br />Total amount paid to Village....... $ r ' <br />Signature of applicant <br />Signature of Village :official <br />