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*>-■ <br />if <br />/» <br />-------------- <br />A <br />,Village Permit M5 . 3191 ^ (!:ii <br />Contractor. <br />/ <br />*> <br />C f /// i ; /v t' /i <br />1 y <br />Aftftrejts / U- i <br />Owner./ (/_/) A /A /cT ^ <y Address. <br />State Lieense No..Village License No. <br />'i ■ <br />GENERAL PERMIT <br />• V <br />\'r,‘ <br />r <br />-« *VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />r' ■ <br />\Date.7' Ir- <br />Parcel No.. <br />Section No,Lot Block.Subdivfsioa <br />Plat No. <br />Other Description: <br />\ <br />\ <br />I <br />*R <br />t <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 specifications as listed below. <br />__________________________________________________________ _____________________________________________________________________________________________________________________ <br />-I <br />m\.**.* <br />i- <br />T <br />Pec $.Install plumbing systems: <br />Install <br />sewage disposal s)^tcms: Fee $ <br />Repair <br />Install <br />Signature of applicant <br />Fee $ If' -C <br />o Signature of Village Official <br />I’ CC $ <br />Total amount paid to Village..........$ <br />■5 <br />i <br />5^^/ >? <br />t f 1 ?