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Village Permit <br />x4fA41, <br />Contractor Q' -/� <br />/� Address <br />Owner e0 (L ft Address <br />35ao <br />f7 <br />i a>�C <br />State License No. Village 1 ense No. <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date <br />Parcel No. <br />Section No Lot— Block.-- Subdivision <br />Plat No <br />Other Description: <br />I hereby agree that, in case a permit is granted, ali 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 dis s: Fee $�C <br />Repair <br />Install <br />water supply systems: Fee $ <br />Rclxur � <br />-- - -- ---- _ .. _� `fir Fee $�...CS�' <br />Total amount lx6d to Village....... $ <br />Signature of applicant <br />Signature of Village Official <br />1 1 e <br />