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ViRag* PtrmH N! 1706 <br />mtx.Addi«. A. fy. <br />State License No <br />f/d lOvyhf/un'tL^riy AAirp«« /^dLyifii±J' <br />---------------------------------- Village License No______ <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Cfystal Bay, Minnesota <br />Datc-/A 7^ 7 <br />Section No- <br />Riicel No.. <br />Plat No— <br />Block-Subdivision. <br />Other Description: <br />I hereby agree that, in ease a |xnnit is granted, all work which sliall be done and all materials which shall be used, shall <br />comply with the \'illagc Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />Install plumbing systems:Sigiuturc of applicant <br />Install sewage disposal systems: Fee %- <br />Install <br />Repair water supply systems: l•'ce %. <br />Fee <br />%-Total amount paid to Village. <br />Signature of \’illagc