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Village Permit 3 `-! A <br />Contractor—1 .t .(. 4r <br />Address <br />1A <br />Owner Address , J / IL <br />State License No. Village License No — <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date — <br />Parcel No. <br />Section No Lot Block__ Subdivision <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 />--- ------ - f--'----l 0 --- <br />Install plumbing systems: Fee $— <br />Install <br />sewage disposal systems: Fee $ <br />Repair <br />Install � <br />water s ~ /Pee <br />Repair <br />d 7 <br />Fe6lA <br />Total amount paid to Village....... $ <br />Signature of applicant <br />Signature of Village Official <br />