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Village Permit Nq 1055 <br />Contractor %�,� �! GV� S� Address— <br />Owner r/F IX e /1?1Q11 -- -- --- Address yi'. <br />State License No <br />Section No <br />Other DescTtion: <br />Village License No. i�-3 �-- <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Parcel No. <br />1100 Lot�''� Block Subdivisi <br />Plat No. <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 • hall include all additional specifications as listed below. <br />Install plumbing systems: <br />Fee $ _ <br />Install <br />sewage disposal systems: Fee $ <br />Repair <br />Install <br />water supply systems: Fec $ R�' <br />Fee $—. _-- <br />Total amount paid to Village....... $_— <br />Signature of applicant <br />Sign tune of Village Official <br />Lam' <br />