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Village Permit ; . 3207 <br />Contractor Z9f 2L �a d.�tJ �` Address <br />Owner (.L-..� /( ��l�i�'i Address /// <br />State License No. <br />Parcel No. <br />Section No <br />Plat No. <br />Other Description: <br />Village License No. <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />�_ 7�- <br />Date <br />Lot— Block Subdivision - <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 disposal systems: Fee 5 <br />Repair <br />r�l <br />Install �. ; <br />ss-atcr supply sr. tet" &: Fee <br />Repair <br />Fee $ <br />Total amount paid to Village....... $� <br />1 <br />-S 1 <br />Signature of applicant <br />Signature of Village Official <br />