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vi0s9e PwroL .. 2 6 0" 7 <br />Address! <br />Address <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date-- <br />Parcel <br />ate — <br />Parcel No. <br />Section No Lot—_ Block._— Subdivision <br />Plat No. <br />Other Description: <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 />Or <br />At <br />/ -'Jo', <br />Install plumbing systems: <br />Fee $— <br />Install <br />sewage disposal systems: <br />Fee $— <br />Reprair <br />Install c , <br />water supply sit <br />Fee $ <br />Repair /1 <br />tP <br />Fee $ <br />Total amount paid to Village....... <br />$ <br />(-•f A '� .� l� rbc L <br />_- <br />'� <br />q0 <br />Signature of applicant <br />Signature of Village Official <br />