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Village Permit 27-35 <br />Contractor [.,-r-,,, Q c <br />tact Add <br />Owner Address <br />State License N <br />Section No <br />Other Description: <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Parcel No. -- <br />Plat No.--- <br />Other <br />o. __ <br />Crystal Bay, Minnesota <br />Lot_ Bloch_ Subdivi <br />Date. / 7 <br />If - <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 Villagc Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />Install plumbing systems: Fee $ <br />Install <br />sewage disposal systems: Fee $ <br />Rcpair <br />Install <br />water swpplw- 1.),elamfi:� <br />ltcl.:!ir <br />Total amount Mid to Village. . <br />Fee $ 1 <br />Fee $ <br />$ J � ! <br />J <br />l� D07%�r <br />r2'4) - /< &e-' ' , . / <br />Signature of applicant <br />Signature of Village Official <br />r C, <br />