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Village Permit Ng 1731 <br />Contractor �c Address <br />Owner / / d- l Address__ ( /_JJ!I f, D re), <br />State License <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />Village License <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date,L f 7 7 <br />Lot— Block-- Subdivision ... ____. <br />I hereby agree that, in case a permit is granted, all work which shall be clone 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 systems: lee $____ <br />Install <br />scwvage disposal systems: Fee <br />Repair <br />Install <br />Re water)PplY systemFee ec $—�- <br />/Y Fee $—f ' J <br />Total amount paid to Village.... .. 5 <br />Signature of applicant <br />Signature uF Village Official <br />