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i <br />Contractor._- <br />Owner. <br />State Liccnsc No.—.------ <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />Village Permit N2 1192 <br />Address---- _ ,p' <br />_ Village License No.------- <br />GENERAL <br />o. -_--- <br />GENERAL PERMIT <br />VILLAGE OF ^RONO <br />Crystal Bay, Minnesota <br />Lot--- <br />I <br />ot _ <br />Date .1/7/ <br />I hereby agree that, in rase a pcnnit is grantcd, all <br />work which <br />shall <br />be done <br />and all materials which shall <br />be used, shall <br />comply with the Village <br />Code of Orono applicable <br />thereto, and <br />shall <br />include <br />all additional specifications <br />as listed below. <br />Install plumbing systcnls : <br />Install <br />lZepair� sewage disposal systclus: <br />11S <br />%t attcr supply systems : <br />Repa i r <br />Fcc $ _ --- --- <br />14" <br />_--__- <br />14" cc <br />Fee $_l.1.G_�n <br />Fee $ <br />Total amount pall to Village:........ $_ 0-0-- <br />SlgllatUIC Of it j)PIlunt <br />Signature of Vill.lgc: Official <br />t � 1 <br />