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Village Permit 1� <br />ContracU C4-t4r) Address j a <br />Owner �vL� f Address <br />State License No. <br />Parcel No <br />Section No <br />Village License No <br />GENERAL PERMIT I <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date ^ 9 70 <br />Plat No. — <br />Other Description: <br />Lot— Block-- Subdivision — <br />I hereby agux that, in (ase 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 />__... __ � 5..�✓ ��_ _—����1 � � f/ ,� In i/'__ ��, ! t I/u/Y� / � /�� <br />I <br />Install plumbing systems: Fee $— <br />Install <br />sewage disposal s} acros: Fee $ <br />Repair <br />install <br />water srippk a terev Fee <br />Repair <br />Fee $ /C !' c <br />Total amount paid to Village....... $ ..1 <br />2 <br />Signature of applicant <br />Signature of Village Official <br />t <br />I <br />1 <br />