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Owner- ___ <br />Shite License No.—_ _ <br />_._ Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Parcel No. <br />Section No. Lot_____ _ Block—_____ _ Subdrvisiun <br />Plat No <br />Other Description: <br />Village Permil N° 1350 <br />Date ¢ <br />I hereby agree that, in ease a permit is granted, all work which shall he done and all materials which shall be used, shall <br />comply with the Pillage Code of Orono applicable thereto, and shill include all additional specifications as listed below. <br />Install plumbing systems: Fee <br />Install <br />Repair sewage disposal systems: Fee $_ <br />'�--� Nater supply systems: Fee $-Z i'_ <br />Repair <br />— - --- -- ---- Fee 5-- ---- — <br />'Total amount pard to \ illagc.... 5_ ._ r Q_ <br />Signature of applicant <br />Signature of Villw (ficial <br />7 <br />/ <br />� <br />