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P«nnH HI2 1319 <br />GENERAL PERMIT <br />VILLAGE or ORONO <br />Ciystal Bay, Minnesota <br />Date- <br />Section No- <br />PSiiod No.. <br />Plat No— <br />Block.Subdivision <br />Other Description: <br />1 hereby agree that, in case a permit is gianted, all work w^ich shall be done and all materials which shall be used, shall <br />comply with the N'illage Code of Oioiio applicable thereto, and shall include all additional specifications as Ibled below. <br />Iiutall plumbing systems: <br />Install <br />Repair <br />Install <br />Repai <br />Fee $. <br />sew-age disposal systems: Fee $_ <br />Signature of applicant <br />r supply s)-stcins: Fee $., w^r supply s>s <br />Fee S-V-'-t-P-Q- <br />Total amount ppid to Village.............$----------------- <br />Signature of Village Official <br />/A/(l (tJcLU/j>A^ <br />\ <br />-J