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Village Permit 3065 <br />ContractorAddress <br />[- r � r <br />Owner wl / U OL' /' ! a r r J , Address 5 r ��u �► to C e e <br />r, <br />State License <br />Parcel No. <br />Section No <br />Plat No. <br />Other Description: <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivision <br />Date 7v <br />I hereby agree that, in case a permit is granted, 211 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 1 �� <br />sewage d Fee $ <br />Repair <br />Install <br />water supply systems: Fee $ <br />Repair <br />Fee $ <br />Total amount paid to Village....... $ <br />Signature of applicant <br />Signature of Village Official <br />