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Village Permit 3479 <br />Contractor R C, -t Address <br />Owner_ b tl < < Address_ "3 C-fi ,i 1� � c� ✓' �.� <br />Stall License No. — <br />Section No-- <br />Other <br />o — <br />Other Description: <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Parcel No. <br />Lot Block Subdivision <br />Plat No <br />Date %,- -'Z /- 1y <br />I hereby agree that, in case a permit is granted, all work which sl►all be done and all materials which shall be used, shall <br />comply with the Village Code of Orono applicab <br />le thereto, and shall include all additional specifications as listed below. <br />Install plumbing systems: Fee S— <br />Install <br />sewage disposal systems: Fee $ <br />Repair / <br />Install O <br />water supgeoi Fce <br />Itclxiir <br />Fee g , Ire <br />Total amount paid to Village....... C' 5 <br />-Y <br />-- <br />. <br />Signature of applicant <br />Signature of Village Official <br />