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t r• <br />Village Permit _ .. w 2735 <br />Contractor L7"it. (� �; r� o' Address'E-- <br />Owner Address <br />State License <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivision <br />Datr <br />I hereby agree that, in rase 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 specific2tionS as listed below. <br />Install plumbing systems: Fee $ <br />Install <br />sewage disposal systems: Fee $ <br />Repair <br />Install <br />water supply systems: Fee $-- <br />RepgiA <br />LI/'J,r Fee$ <br />Total 4wount paid to Village....... $ <br />i0 •�a <br />Signature of applicant <br />Signature of Village Official <br />y r� `,Cn �,� •� 11,1 <br />