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Village Permit 3 _2 2 4
ContraMoAddress
Owner Address 2-
State License No. Village License No
Parcel No.
Section No_
Plat No
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivision
Date
I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall
comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below.
Install plumbing systems
Install
sewage disposal systems
Repair
Install
Repair
Fee $ Signature of applicant
Fee
Fee f'� efc
I Signature of Village Official
Fee $
Total amount paid to Village....... $
water supply systems
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