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Village Permit <br />1 <br />G' <br />Contractor C(c fiN Address— <br />Owner L-� yY 1 �(� elAe cress ^ ✓ t h.� [ / l ^f . <br />State License No. _ Village License No. _ <br />GENERAL PERMIT <br />VILLAGE OF ORO'gO <br />Crystal Bay, Minnesota <br />Dates — <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 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 />e <br />histall plumbing systems: Fee $ <br />Install <br />sewage disposal systems: Fee $ <br />Repair <br />Install <br />water supply systems: Fee $ <br />Re�i � <br />�. <br />Total amount paid to Village....... $—_- <br />Signature of applicant <br />Signature of Village Official <br />r ;J <br />1'y i C /► � � Cl �1./ <br />