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JUL 27 1%2 <br />Village P .nit Nn 141 <br />Contractor L- d Aj c� 4 A k .f D /2 A t J A -biddress-- 4. O Al G- A At /.I k;- <br />—. <br />Owner 1 H r _ F. i) u j _ Al —.:Address 1,6 -1 _. L A K e _-- <br />State License No ___ Village License No___ <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Section No .�— Parcel No:' C'O Lot �' Block __ Subdivision O ,2, �' <br />Other Description: <br />I hereby agree that, <br />in case <br />a permit is granted, all <br />work <br />which <br />shall be done <br />and all materials <br />which <br />shall be used, shall comply with <br />the Village Code of <br />Orono <br />applicable <br />thereto, and <br />shall <br />include <br />all additional <br />specifications as <br />listed <br />below. <br />Install plumbing systems <br />Install sewage disposal systems <br />Install water supply systems <br />Total amount paid to Village <br />Signature of applicant <br />Fee $ <br />Fee $ Z SO <br />Fee $_ <br />Fee $_ <br />Signature of Ville Of6 W <br />