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Village Permit N 2 2263 <br />Contractor c-�. .Gu�s�e-ter-r <br />�t ( Address <br />Owner 4 �—n Z,G /' T Address S <br />Cj <br />State License No Village License No <br />Parcel No <br />Section No <br />Plat No <br />Other Description: <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Bloom Subdivisi <br />Date 5;7- <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 />�, 17--A <br />Install plumbing systems: Fee $ <br />Install <br />sewage disposal systems: Fee $ <br />Repair <br />Install <br />water supply systems: Fee <br />Repair <br />Fee <br />Total amount paid to Village....... $ O <br />Signature of applicant <br />Signature of Village Official <br />