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Contractor j <br />Owner---- <br />State <br />wner--- <br />Staite License No._ .` <br />Parcel No <br />Section No <br />Add <br />.e. i <br />Village Permit <br />1 <br />i <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Plat No. <br />Other Description: <br />Crystal Ray, ?N-Iinnesota <br />Lot— — BLOC Subdivision <br />J - <br />3195 <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 Village Code of Orono applicable thereto, and shall include all additional spec---ations as listed below. <br />Install I)luiiilhiilg systems: <br />Install] <br />u «•agc disposal systems: <br />ltvImIr <br />In"tail <br />%altcr snppls sy%tcrns: <br />Repak <br />I{'Ce e <br />Fee _._- _ _ _-.-- _ - — <br />Fee <br />Fee $ <br />Total anunint paid to Vil* ....... <br />;0�� t <br />Signature of applicant <br />Signature of \ i llage Official <br />f �F "may• � ��•+�" �� <br />