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Contractor <br />Owner <br />f <br />Address— <br />Address <br />Village Permit 2949 <br />L- <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 Bloc Subdivision <br />Date <br />71 <br />I hereby agree that, in case a permit 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 systcros: <br />Install <br />sewage disposal Systems: <br />Repair <br />Install <br />waters*4--- <br />Repair ... <br />Total amount paid to Village <br />'*4,.�4 <br />Fee $- <br />Fee <br />$- <br />Fee <br />4j. <br />Signature of applicant <br />Signature of Village Official <br />