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Village Permit <br />Contractor h �/� /< 1 4 t tAddress ' Q j''.'q'�Le--- <br />Owner_ 4, x'YL Address <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 />,rystal Bay, Minnesota <br />Lot—_ — Block Subdivision <br />30;53 <br />Date <br />�_ I f 7ti <br />I hereby agree that, in case a pe►mit is granted, all work which shall be done and all materials which shall be used, shall <br />comply with the Village Code of Ojono applicable thereto, and shall include all additional specifications as listed below. <br />Install plumbing systems: <br />Install <br />sewage disposal systems <br />Repair <br />Install /fie r f� , t <br />water s ae ul, <br />Fee $— <br />Fee $ <br />Fee $ /l r 4- <br />Repair <br />. Fee ; <br />Total amount paid to Village....... $ <br />7 <br />Signature of applicant <br />Signature of Village Official <br />