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Village Permit No 1739 <br />Contractor s�LOC C __ Address— <br />Owner_-- _ r 1' ' Address_ -- <br />State License No. __ _ . ___ ___ 4 __ - -___ Village License No.------- <br />GENERAL <br />o. -__ <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />r <br />Date <br />10 <br />Lot— _ Black—_-_ Subdivision _-- - --- -- ---_- --- _ __ --- <br />I hereby agree that, in case a pcnnit is granted, all <br />work which <br />shall <br />be clone <br />and Al materials wliicll %ball <br />be used, shall <br />comply with the Village <br />Code of Orono applicable <br />thereto, and <br />shall <br />include <br />alb additional specifications as <br />listed below. <br />,� 1 ,X <br />Install plumbing systvills: <br />Install <br />sewage disposal systems: <br />Repair <br />I »stall <br />water slipply ssstcins: <br />Repair <br />14 ee <br />Fee $ _ <br />ee $ <br />ce $ <br />Total ainotint paid to \ illAgt .. . S - <br />t` <br />Sigilaturc of applicant° <br />I ' <br />-14plature of ' 111ilac "ncW1 <br />L �. . <br />