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State License No <br />Village Permit <br />Address - <br />Address — <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date i ' % -% - 7 <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 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 />Repai, <br />"'� Fee $ <br />Total amoufi Village....... $ <br />nom <br />Signature of applicant <br />Signature of Village Official <br />�v <br />