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State License No Village License No
Parcel No.
Section No
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Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Village Permit N° 1372
Date
Lot Block-_ Subdivision
I hereby agree that, in rase a permit is granted, all work which shall be done and all materials which shall be used, shall
comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below.
Install plumbing systems:
Install
sewage disposal systenrs
Install
water supply systems:
Repair
Fee $
Fee $� • ®"�
Fee $ _
Fee $
Total amount paid to Village........ $ � 0
Signaturc of applicant
Signature of Village 'cial