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Contractor <br />Owner <br />State License No <br />Village Permit NQ 929 <br />Address <br />Address /�„�__ <br />Village License No <br />�a GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />- -- <br />Date �t�._i <br />Parcel No�1' 11 PJ <br />Section Nod 0 Plat No L'o`�— BlocSubdivision <br />I or <br />Other Description: <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 />BAsewage disposal systems: <br />Install <br />it water supply systems: <br />Reps <br />Fee $ _ <br />Fee $ <br />Fce $—_ <br />Fee $-- — <br />V <br />Total amount paid to Village....... $ <br />Signature of applicant <br />Signature of Village Official <br />