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Village Permit N 2 2333 <br />Contra f1vt U A TCho-r (4 Address / <br />Owner 6 <br />-1 64A 4Aj%4Address <br />� � (�' � � w►^ c 0 C e- <br />State license No Village License No <br />Parcel No <br />,_Y!Tn. I z. <br />Plat No <br />Other Description: <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bsy, Minnesota <br />Lot Block Subdivision <br />Date , /r _/ y <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 <br />Repau sewage disposal systems: Fee S <br />Install <br />ter supply systems: Fee $ <br />r �- <br />U Fee $4'� <br />Total amount paid to Village....... $ <br />Signature of applicant <br />Si ture of Villago Official <br />., f <br />