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Village Permit N2 1031 <br />Contractor Address <br />-- Address i�c �,,. , - ?' I <br />State License No Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Datc <br />Parcel No / <br />Section No LoBlock Subdivision— <br />Plat No <br />Other Description: <br />/4 qo _ &'� 6J -A- 7- <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 />oornply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />Install plumbing systems: Fee $ -- <br />]ratan <br />Repair sewage disposal systems: Fee $:— <br />Install water supply systems: Fee $ _ <br />Repair <br />Fee $ - - <br />;v <br />Total amount paid to Village....... $: <br />Signature of applicant <br />Signature of Village Official <br />