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5 ZioyO�� <br />k tc' & r <br />14 � 1 Z—L2 P-t:te r /? <br />Village Permit 3 _2 2 4 <br />ContraMoAddress <br />Owner Address 2- <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 />Lot Block 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 shall include all additional specifications as listed below. <br />Install plumbing systems <br />Install <br />sewage disposal systems <br />Repair <br />Install <br />Repair <br />Fee $ Signature of applicant <br />Fee <br />Fee f'� efc <br />I Signature of Village Official <br />Fee $ <br />Total amount paid to Village....... $ <br />water supply systems <br />69. 75�7..7?',-k <br />