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Village Permit 2 %G j- 9 <br />n <br />..i <br />Contractor AddrK� <br />/ <br />Owner. Address <br />State License No. Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date Z.� <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 />Install plumbing systems: Fee $ <br />Install .� <br />sewage di < - Fee $!La <br />Repair <br />Install <br />water supply systems: Fee $— <br />Repair <br />Fee <br />paid Total amount id to Village ....... $ <br />r <br />Signature of applicant <br />Signature of Village Official <br />Al <br />1 ' .�� /j/1 A <br />:W <br />,. , <br />