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Village Permit 26,34 <br />r /14 v / <br />Contractor %� ry% ` '� � i Addres'�Q � <br />Owner. �i i rt r �e Address <br />State License No. Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date_ <br />Parcel No. <br />Section No Lot— Block Subdivision <br />Plat No.— <br />Other Description: <br />I hereby agree that, in caw a permit is granted, all work which shat' be done and all materials which shall be used, shall <br />comply with the Village Gide of Orono applicable thereto, and shall include all additional specifications as listed below. <br />Install plumbing systems: <br />Fec 5 _ <br />Install <br />sewage disposal systems: <br />Fey: <br />Repair <br />LL <br />Install/�>Z <br />water st►ppiv <br />Fa <br />ker4w <br />Fee $ <br />Total anuiunto Village....... <br />s <br />Otpaid <br />SJ�( <br />Signature of applicant <br />Signature of Village Official <br />L A C j'tit � f l 'L_ <br />