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Village Permit N° 2015 <br />Contractor Address• . <br />Owner Addr <br />State Gcensc No __ Village License No. <br />Section No <br />Other Description: <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Parcel No. <br />Date <br />Lot Block_— Subdivision <br />Plat No <br />I hereby agree that; in rase 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 />m <br />Install plumbing systems: <br />Instill <br />sewage disposal systems: <br />Repair <br />e <br />water supply systems: <br />Fee $ <br />Fee $ <br />Fee S 16 ' A V <br />Fee $ <br />Total amount paid to Village........ $ O <br />Q. 6) <br />Signature of applicant <br />Signature of Village ' 1 <br />_�Z '� <br />