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Village Permit Na 1792 <br />Contractor .11' / —Lye Address '0 fir" �t <br />Owned . l �� E r/� S Address rC /l A ✓J �° ��i� <br />State Lit_- No <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />Village Liccnse No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot— Block-- Subdivision <br />Date A-1— /14� — <br />I hereby agree that, in case a permit is granted, all work which shall be done and all matcrials which shall be used, shall <br />comply with the Village Code of Orono applicable thereto, and shill include all additional specifications as listed below. <br />Install plumbing systems: <br />lnttall <br />sewage disposal systems <br />Repair <br />water supply systems: <br />Repair <br />Fee $ — <br />Fee $ <br />Fee$ /O-dO- <br />Fee $ — <br />Total amount paid to Villagc........ $_1 n -_oz <br />Signature of applicant <br />Signature of Village coal <br />