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Village Permit N2 1633 <br />Contractor r a 6 L--1 . Address <br />Owner �� 7 tf eu-t/'-�)�, Address �r .1 e01 /a L1 f�e <br />State License No _ Village License No._. <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date r <br />Parcel No. <br />Section No Plat No Lot—___ Bloch Subdivision <br />-�-` <br />Other Description: <br />I hereby agree that, in case a permit is granted, all work which shall be clone and all materials which shall be used, shall <br />comply with the Village Codc of Orono applicable thereto, and shall include all additional specifications as listed /below. <br />C� % <br />12-6 — <br />Install plumbing systems: <br />Install <br />Repair sewage disposal systems: <br />Install <br />Repaiwater supply systems: <br />_. <br />le, r, <br />vL <br />Fee $------- — <br />Fee $ <br />Foe $1f - 00 <br />Total amount paid to Village........ $-___.._. - <br />Signature of applicant <br />Signature of Village Official <br />