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Village Permit N2 980 <br />Contractor -r' L Address &-3� I�I !�;" I <br />Owner- 6,1141. 4Lm�� ..,/� -- --- Address —y41446 � 101 ��/�.-JF <br />- <br />State License No. 94xwa-Village Li rise No. <br />GE ERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />s <br />Date <br />11 r0 r� <br />Section No.�Parcel No. — Lot — Block Subdivision <br />Plat No <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: Fee $ Signature of applicant <br />LnctaiL— <br />ge isposal systems: <br />Repair <br />Install <br />water supply systems: <br />Repair <br />Fee $ <br />Fee $ <br />Fee <br />Signature of Village Official <br />Total amount paid to Village....... $4�� <br />