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Village Permil No 1942 <br />Contractor & ��'�_� Ifle- Address <br />n L� fr /Pr% <br />Owner�L. /— / i C / Address, ! u n �° 5 <br />State License `. <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivis <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: <br />Install <br />Repair sewage disposal systems <br />water supply systems: <br />epair <br />Fee $— <br />Fee $ <br />Fee $10 0 _ <br />Fee $--- <br />Total amount paid to Village........ $_—_ - <br />Signature of applicant <br />Signature of Village fficial <br />—%A-- - <br />