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Villa.ae Permit N2 2316 <br />Contractor <br />�'%11 �J.+r J Address <br />Owner <br />� c �. L �1 t G f/ •Z Address ! d gS <br />State License <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 Block Subdivision <br />Date <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 />(l - E' a-1/ C" �C i '� 4-,L 0,--, - �2� t c#.� C .(4- — / <br />/r, - '�5e) � <br />Install plumbing systems: Fee $ <br />Install <br />sewage disposal systems: Fee $ _-- <br />Repair <br />Install <br />water supply systems: Fee $ <br />Repair • � � I--- <br />%� t <br />- . .'t er _ Fee $ ; L — <br />Total amount paid to Village....... $ <br />Signature of applicant <br />Signature of \'illage Official <br />