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Contractor L'� =t1 ✓ �Ch fr"a c. fc r" <br />Owner X.A tA'rl <br />State License <br />Parcel No. <br />Section No <br />Plat No. <br />Other Description: <br />vid6p Pwnf* <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivision <br />Date .2 <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 />asupply systems: FeeRepai� <br />Fee $ a, � x �_• <br />Total amount paid tb Village....... $ <br />I <br />Signature of applicant <br />Signature of Village 01fiCi2l <br />