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Village Permit N2 1629 <br />Contractor <br />;k n 6A <br />Address <br />Owner � D <br />�iM e <br />f/ F b � � 4 <br />Address� � •' � � �' � �- ��'�' - <br />State License N <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />Village License <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, N. inesota <br />Lot Block Subdivision <br />Dat -' <br />I hereby agree that, in rase a permit is granted, all work which shall be clone 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: <br />Install <br />sewage disposal systems <br />Repair <br />Install <br />water supply systems: <br />Repay <br />1- yo- A <br />Fee $ Signature of applicant <br />Fee $ <br />Fee $ _ <br />Fee <br />Tdtal amount paid to Village........ $—__ _- <br />Signature of Village Official <br />e-- <br />