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Village Permit <br />Contractor " "� �' �l� yti� ` i� l Address <br />Owner / r, r r / t. ti ^'� �`' Address <br />State License No. Village License No A <br />Parcel No <br />Section No <br />Plat No <br />Other Description: <br />GENER".L PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivision <br />Date .. , / -1 I <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 />Install plumbing systems: Fee $ <br />Install <br />sewage disposal systems: Fee $ <br />Repair <br />Install - � <br />water sd r Fee $ n <br />Repair _ <br />Fee $— C <br />Total amount paid to Village....... $ Jan <br />Signature of applicant <br />Signature of Village Official <br />