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Village Permit 3185 <br />'"' <br />L �C , <br />Contractor r ' �- �� 44f Address <br />Owner. �� - r Address /j l Q �,00 <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_ <br />Block Subdivision <br />Date l , r G' <br />I hereby agree that, in case a permit is granted, all work „'.::ch 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 />r ,, ) 2, <br />Install plumbing systems: Fee $ <br />y Install <br />sewage disposal systems: Fee $ <br />Repair <br />Install (7 C, <br />c <br />r water A Fee $ <br />Repair <br />Fee $ <br />Total amount paid to Village....... $ <br />Signature of applicant <br />Signature of Village Official <br />