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Village Permit ! v <br />�i t 1y _ Q J Address - <br />Gntractor . <br />Owner. SL ^- ,+i . L it.4 ` _ Address <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 JF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivision <br />Datc r� <br />i <br />I hereby agree that, :n rase a permit is granted, all work which shall be done and all materials which shall be used, :hall <br />comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />Install pl-rmbing systems: Fee $ <br />Install s,*�M l6, <br />„ewage dar �stiga5: Fee $ /�' . Ur � <br />Repair <br />Install <br />water supply systems: Fee $ <br />Repair <br />Fee $ <br />Total amount paid to Village....... $ IC . - <br />Signature of applicant <br />Signature of Village Official <br />1 <br />