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Village Permit N! 1653 <br />Addm.____,M ■ f^. <br />State License No. <br />Address__ <br />Village License No <br />/:T^o /£rs >f?/ <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date. <br />Section No. <br />Pbicd No. <br />Plat No._ <br />Lot-Block.Subdivisioi <br />Other Description t <br />fe»< ■■ <br />I heid>y agree that, in ease a permit is granted, all work which shall be done and all materials which sliall be used, shall <br />comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />- - <br />%HP%-----------------------------------------------—------------------------- <br />P <br />Iiutall plumbing systems: Fee $. <br />Install. sesvage disposal systems: Fee $.Repair <br />InstaU <br />Signature of applicant <br />•err:'Fee $- <br />Fee^ <br />Total amount paid to Village ............$ <br />’J'So Signature of Village (^cial <br />fJyiksL.