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Village Permit N° 1623 <br />,// r l <br />r%0r /� <br />Conhactor d/ /,- 6 Address <br />Owner 7'i . U6 �D / fif Address_ _% J� / 2 <br />State License No _ Village License No. <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date 1-/1-617 <br />Parcel No. <br />Section No Lot Block Subdivisi <br />Plat No <br />Other Description: <br />I hereby agree that, in case a permit is granted, all work which shall be clone 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 />Repair sewage disposal systems: Fee $ <br />Install <br />ter supply systems Fee $ _ <br />Repo j j <br />_ Fee $ <br />Signature of applicant <br />Signature c; Village O ' I <br />c. <br />Total amount paid to Village........ $ <br />