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Conti <br />Owner <br />Village Permil No 1884 <br />%ddres,__j .. <br />State License No.__ _—_________ __ __.____ ___ Village License No.. <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot__ ____ ._ Bloch__ Subdivision <br />Date IIC52'al <br />I hereby agree that, in case a Ixnnit 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 <br />Install <br />stmage disposal systems <br />Repair <br />Install <br />Repo,/76r <br />suppl}jfyslcn►s: <br />Fee $ — — -- <br />Fee $— — <br />Fee $ --- <br />Fee <br />Total amount paid W\ illagc.... 5_ <br />Signature of applicant <br />Signature of \ illage <br />