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State License No. ___.__ __ <br />Village Permit Ng 1812 <br />Address— <br />Address <br />y <br />Village License No.--______ <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date <br />Parcel No. <br />Section No Lot--- Block--__ Subdivision -- <br />Plat No <br />Other Description: <br />I hereby agree that, in case a permit is granted, all work which shall be clone and all inaterials 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 sLwage disposal systems: <br />Install <br />ssatcr supple ,Nstcim: <br />Repair; <br />Fee $------ <br />Fee $ _ <br />Fee `— --- <br />Fee $— <br />Total amonut pail to \ illagc........ ti_ <br />Signature of applicant <br />Signature of \ illage Official <br />