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Contractor Addres <br />/C <br />Ow,n� Address <br />State License No. Village License No. <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Parcel No. <br />Section No <br />Plat No _ <br />Other Description: <br />Crystal Bay, Minnesota <br />Lo+ Block Subdivision <br />Village Permit N" 1492 <br />Date;� CJ <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: Fee $ <br />Install <br />sewage disposal systems: Fee $ <br />Repair <br />Install <br />ter supply systems: Fee $ <br />RenWr <br />Fee <br />Total amount paid to Village ........ <br />Signature of applicant <br />Signature of Village vial <br />