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State Licensc No. —. <br />Village Permit L L 4 <br />Address /I 1 &. I • <br />1 <br />7 .�Address— L L <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Cn•stal Bay, Minnesota <br />Date % /" 1 <br />Parccl No. <br />Section No Lot Block — Subdivisio <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 />" 0 <br />Install plumbing systems: Fcc $ <br />Install <br />sewage dixpcnal systems: FLT $ <br />Repair <br />Install 'i. t. py(.4 <br />water s-, Fee $ ! Y <br />��t'd *41-e t Fee $ lt^ O O <br />Total amount paid to Village .... .. $- -1 —1 1 .Y..d <br />Signature of applicant <br />Signature of Village Official <br />; j 1 <br />