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Village Permil N° 1482 <br />' <br />Contract Addres d// C <br />Owner—_ __ _ __ __ — :lddress <br />State ' cnse 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 />Date <br />Lot-------- Block.._--- Subdivision_ <br />I hereby agree that, in case a permit is granted, all work which shall be clone and all materials which shall be used, shall <br />comply with `he Village Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />Install plumbing systc:.is: <br />Install <br />Repair sewage disposal systems <br />s 11 <br />ter supply systems: <br />pair <br />Fee 5--__-- — <br />Fee 5--] <br />1' ee $—L / i _D <br />— -- - Fee - -- <br />'/�,GU <br />Total amount paid to \ illagc.. ... S <br />Signature of applicant <br />otsaAei <br />— <br />Signature of Village Official <br />