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Villag# Pmr» N2 2587 <br />J^i mtv z^/- <br />n— y-Lt^ t Mi f <br />'Ac^ ■Address <br />Slate license No. <br />AAtrPW <br />Village lacense No____________ <br />GENERAL PERMIT <br />VILLAGE or ORONO <br />Crystal Bay, Minnesota JjjHi <br />^ //-v7-7g <br />Subdivision <br />I hereby agree that, in ca.se a permit is granted, aO work which shall be done artd all materials which shall be used, shall <br />comply with the Village Code of Otono applicable tberetc^ and shall include all additioncl specificatimis as listed below. <br />Fee $-Install plumbing systems: <br />Install <br />sewage disposal systems: Fee $. <br />Repair <br />Install <br />water supply systems: Fee %. <br />__ Fee % fP-O O <br />Total amount paid to Village ..........$_ <br />Signature of applicant <br />Signature of Village Oficialc''/0h IS l