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• <br />Villag* Permit 3252 <br />Contractor I-'�/ %'n uv ' C�/ �- Address % r "'4 <br />Owner. Address <br />State License No. Village License No <br />GENERAL PERMIT <br />f <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date <br />Farce) No. <br />Section No <br />Plat No <br />Other Description: <br />Lot Block Subdivision_ <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 sewage ` Fee $ C) <br />diPai�c: <br />Repair <br />Install <br />water supply systems: Fee $�— <br />Repair <br />�—�... Fec $ D <br />Total amount paid to Village ....... $ C' 1 <br />Signature of applicant <br />Signature of Village Official <br />?, <br />w�= <br />