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Village Permil N® 2017 <br />Contractor.CjdklMtS-Address. <br />Owner./^r/ Alhlr.ma nn Addrcss—^Z^^i^L___3, <br />State License No,Village License No.. <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date. <br />Section No, <br />Parcel No. <br />Plat No- <br />Lot Block.Subdivision <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 X^illage Code of Orono applicable thereto, and shall include all additional s]x:cific”Jtions as listed below. <br />Install plumbing systcins; <br />c ^ sewage disposal systems: <br />Repair <br />Fee $_Sigiuturc of ayipticant <br />Install <br />Repair <br />water snpply sutcnis: <br />l'’ee S— <br />Total amount paid to Village ............. % <br />Signature of Village Official