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<br /> Owncr— '��?;
<br /> Vil]age License No.._------- ,�
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<br /> Statc License �Q "�.
<br /> ��.�� r��Rr,�IT �:
<br /> GEN� �`.
<br /> VILLAGE OF ORONO
<br /> Crystal Bay> Minnesota
<br /> Dat
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<br /> � Subdivision �
<br /> Parcel No.-- ��_ gloc�--
<br /> Scction Na--- plat No_------
<br /> Other Desc�P�On'
<br /> . which shall be done and all �i�ateTials c fi�ations lasbe� belO��'1
<br /> ee that, in rase a permit is g�n t e d, a l l w o T k
<br /> j hereby agr l�cable thereto, and shall inc lu de a l l a d d i t i o u a l s p e
<br /> �mp1y with t hc Villa ge Code of Orouo app�
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<br /> Sigttaturc of applirant
<br /> tems: Fee $----
<br /> Install plumbing sys ______.___
<br /> Zrstall S�ge disposal systems: Fee 5-�--
<br /> Repair
<br /> I�� ter sup y systems: r� ���r 5ignature oE Village Offi ial
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<br /> Repait gce � '
<br /> Total amount paid to Village........ �-- ---
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