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Village Permit No 1737 <br />Con tractorLl,.&-1._ Address <br />OwnerC-f.A- 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 />Date1 • <br />1. t— _ Block __ Subdivision <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 Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />Install plumbing systems: <br />Install <br />Repair sewage dislx)sal systems <br />Install <br />Fee S Signature of applicant <br />i') <br />Fee Y <br />water supply systems: FCC $ <br />Re it � <br />-- Fee <br />Total amount paid to \ illagc...... <br />.. s-1, <br />Signature of Village :official <br />Ax- <br />