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Village Permit 7� ,C� vn2 <br />0 a <br />Contractor"�� �_ G� Address <br />Owner. �l' Ei�. L`f _ i Z �. �� Address <br />State License N <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />Village License No <br />GvNERAL 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: Fee $ <br />I astall <br />sewage disposal systems: Fee $ _ <br />Repair <br />Install <br />wate supply systems: Fee $ <br />Repair /� <br />tl,-" t�— <br />Fee ; <br />Total amount paid to/village ....... $ <br />Signature of applicant <br />Signature of Village ciall <br />T-4 lr ,' ZM M I Aj Ll - <br />