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Contractor AA-","fAdd' <br />Owner r -o -h z <br />�f �( '6, / Address <br />State License No. Village License No. <br />Parcel No. <br />Section No <br />Plat No. <br />Other Description: <br />Village Permit _ _ <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot— Block Subdivisi <br />Date—, J r <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 ' l <br />ude all additional specifications as listed below. <br />Install plumbing systems: lee $ <br />Install <br />sewage disposal systems: Fee $ <br />Repair <br />Install <br />water s4 jy � n : Fee } <br />Rclxiir 1'` <br />.P.. ��,� 0� G„� Fee $( Olt' - <br />Total amount paid to Village....... $_') <br />Signature of applicant <br />Signature of Village OffiCW <br />