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Contractor <br />0%--: 'T <br />State License No <br />Parcel No. <br />Section No <br />Plat No. <br />Other Description: <br />p <br />Add <br />V060 Per"* 2934: <br />'Of <br />Address <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot— Block— Subdivision <br />Date <br />I hereby agree that, in case a permit is grated, 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 sp%ikatiops as listed below. <br />J <br />�. y� X1.1 vct <br />111st.111 <br />plumbing systc"": <br />FCC <br />$ <br />Install <br />sewage dill <br />111%tall <br />water S11 ppl%, S\ ocins: <br />Fee <br />kcpair <br />Fc c <br />ToW ammint paid to Village ....... $,,. - - �-1*0-% <br />Signature of applicant <br />Sigmtule of Village officid <br />