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Village Permit N 2 2589 <br />�C' , Av ,/ Contractor 1 '��^ Address <br />f r'I �, irrl/ it'll �Lm �,`�✓=� I d / <br />OWne <br />Address <br />%i <br />State License N <br />Parcel No <br />Section No <br />Plat No <br />Other Description: <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Bloch_ Subd <br />Date 14 -10 <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 />wa er supply systems: Fee $ <br />Repair <br />Fee $ , (!L <br />Total amount paid to Village....... $ <br />Signature of applicant <br />Signature of Village Official <br />