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Village Permit Nq 1450 <br />Contractor —�L�t22°t• r v C�l /b p 1� Address <br />Owner ��Q ✓Y)le �-- Address -F' <br />State License No <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF OAONO <br />Crystal Bay, Minnesota <br />Parcel No. <br />Section No Lot Bloch__ Subdivision <br />Plat No <br />Other Description: <br />Date— 0� <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 />Install <br />In Repair <br />sewage disposal systems: Fee $ <br />Install <br />water sapply systems: Fee $ _ <br />Repair �^ <br />_ 7 7 �f" Fee $ <br />Total amount paid to Village........ $_— - - --- <br />Signaturc of applicant <br />Signature of Village Offi ial <br />