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Village Permit <br />Contractor _1\1i �� �"� ��''� t ±4 Address <br />Owner <br />.b t �'Q.. / Address �5; ( r <br />r <br />State License No <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 �- <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 systema: <br />Repair <br />Install a 1, <br />WatCT S <br />Fee $_ <br />Fee $ <br />Fee $ ic�_ . 0 0 <br />Repair �Q <br />Fee $ <br />Total amount paid to Village....... $ .t <br />Signature of applicant <br />Signature of Village Official <br />