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Village Permit <br />Contractor Address <br />Owner <br />Cl�n'Y> hu ( Address 1A kS 04-L�eo <br />State License N <br />Parcel No. <br />Section No—. — <br />Plat No <br />Other Description: <br />License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivision— <br />Date 7 / �— Iy <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 />--- --- -- a f i Village-- <br />Install plumbing systems: <br />Install <br />sewage disposal systems <br />Repair <br />Install <br />water s4atk <br />Fee $ <br />Fee $ -- <br />Fee s_'Lo . 0 0 <br />Repair �}-/��..-��e— <br />i� X�-�C Fee $— • 5-6 <br />Total amount paid to Village....... $ <br />`4v� S�tig <br />Signature of applicant <br />Signature of Village Official <br />f <br />