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VilUge P«rmil N2 1797 <br />Contractor./* '"l?i e.t'6cr>Address ^hFt A <br />Owner.]):l tfj / t>re //Addra ,, r^^CST" 'IS)A(J I'f ^ ttJ <br />State License No_Village License No.4 <br />GENERAL PERMIT <br />VILLAGE OF OBONO <br />Ciystal Bay, Minnesota <br />Section No- <br />Parcel No.. <br />Pht No __ <br />Lot-Block-Subdivision. <br />7'ir< ~~ ^ <br />Other Description: <br />I beieby agree tiiat, in case a permit is granted, all work wbidi sliall be done and all materials which shall be used, shall <br />comply with the N'illage Code of Orono applicable thereto^ and shall include all additional specifications as listed below. <br />Install plumbing systems:Fee $.Signature of applicant <br />Install <br />. sewage disposal s}stcms: Fee V-Kepair <br />Install <br />Repair water suppl]^ systems: I'ec S-wafer suppf]^ <br />l4iU)Fee S.Signature of N'illage Official <br />C/ <br />Total amount paid to V illagc-:*...........S-----------'1 <br />/ <br />• • ^