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Village Permit N2 1 0 5 1 <br />Contractor. _ 6� Address— <br />Address — <br />Owner <br />—� — - - --- — - <br />—__-- -. _—__-_-- <br />State License No. Village Liccuse No. _ <br />NERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />1)atc� <br />Parcel No.__ <br />Section No Plat No. Lot_.____ Block Subdivision <br />—_ <br />Other Description: 1161Fr <br />I hereby agree that, in case a permit is granted, all work which shall be dome 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 />ewage i sal systcuu <br />Install <br />Repair water supply systems: <br />Fce $ _ <br />C v <br />Fcc $� <br />Fee $--- - <br />Fee $__ <br />o c.� <br />Total amount paid to Village....... $S-�'�"�-_ <br />Signature of applicant <br />o <br />Signat re of Village Official <br />