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Village Permif Ng 1993 <br />Contractor Address <br />Owner jj� 4�) - Q/ Addrms--Z-L; At, )k�ll <br />61 Aelc-pk <br />State Licensc No <br />Nrcel No. <br />Section No <br />Plat No <br />Other Description: <br />Village License <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date /r --�- <br />Lot— Block_ __ Subdivision_—__ ---- <br />I hereby agrec 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: <br />Install <br />Repair sewage disposal systems: <br />stem: <br />R s m <br />-water supply systems:: <br />i>• <br />Fee $— <br />Fec $ <br />1'ee $ Ir " (10_ <br />Fee S— <br />Total amount paid to \ illagc........ 5—. <br />Signature of applicant <br />Signature of \'illa6c Official <br />