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Village Permit 1. 3377 <br />Contractor_ _ `'t/ � Addresa 2/2' 7-k-2/2!7--' <br />G�- <br />Owner A �D• Address ' ? � `J' �Ft i �> ,l U�x�L <br />f <br />State Licensc No._ — Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date d'Ir-7% <br />Parcel No. <br />Section No Lot— Bloch—_ Subdivisi <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 />Install plumbing systems: Fee $ <br />Install <br />sewage disposai systems: F., -e $ _ <br />Repair <br />Install , <br />water supply systems- Fee $�L <br />Repair <br />. _. & = I Fee $_____.,.'c <br />Total amrnmt paid to Village....... $ /() �ro <br />Signature of applicant <br />Signature of Village Official <br />k f, <br />