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Village Permit N! 1896 <br />Contractor Z-4 <br />Owne.4 > l21U /4' a,/ Address —A� <br />State License No Viljage License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota G <br />Date/7 <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, 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 />Instal umbing systems: <br />stall <br />sewage disposal systems <br />epair <br />Install <br />Repair water supply systems: <br />Fee $ <br />K� <br />Fee $ <br />Fee $ <br />— _ ---- Fee S— <br />Total amount paid to Villagc........ <br />Signature of ap licant( -, <br />V' <br />Signature of Village Official <br />