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Village Permit L p e2v <br />Contractor1IT'{_17 A UL/ / t 4111L/1 QKJ Addres <br />J - <br />Owner r1 %7 Address �y� 1E u 1.4,x/1G►t.y <br />l <br />State License No. Village License No — <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Al:nnesota <br />Parcel No. <br />Section No <br />Plat No — <br />Other Description: <br />Lot Block Subdivision <br />Date. <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 $ <br />Repair <br />Install <br />water supply systems: Fee $ <br />Repair <br />l l;ce$ <br />Total antes�-Villagc....... $ <br />Signature of applicant <br />Signature of Village Official <br />