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Contractor I GZAddress <br />Owner � � G E ' /� � hE /Z Address <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 />Village Permit N° 1372 <br />Date <br />Lot Block-_ Subdivision <br />I hereby agree that, in rase 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 />sewage disposal systenrs <br />Install <br />water supply systems: <br />Repair <br />Fee $ <br />Fee $� • ®"� <br />Fee $ _ <br />Fee $ <br />Total amount paid to Village........ $ � 0 <br />Signaturc of applicant <br />Signature of Village 'cial <br />