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Village Permit N� 15 4 6 <br /> _� � � L <br /> Contractor '� c�.� `�% ' �1:�1�0_r. Addres � . / <br /> ,� �� �f / <br /> OKmer .--����1 ��,,,�• � - <br /> f Addres .i..�r r.�� <br /> k _ � <br /> � State License No _ Vil'..,ge License No. <br /> l,'- . <br /> �� : : GENERAL PERMIT <br /> ,,,�, : �TILLAGE OF ORONO <br /> } Crystal Bay, Minnesota <br /> f .y /� <br /> 'r ,,� Date �1F='/,-�7 <br /> � , ` ' <br /> F � � parcel No. <br /> � , Section No <br /> �t Blocl�_ Subdivision <br /> � Plat No <br /> � - Other Description: <br /> � <br /> �� <br /> � - <br /> � <br /> � ;: <br /> F �'� I hereby agree that, in c�ase a permit is granted, all �vork which shall be done and all materials which sl�all be used, shall <br /> � ` � eompIy with the Village Code of Orono applicablc thereto, and shall include ail additional speci6cations as listed beloav, <br /> y� <br /> t . <br /> .. - - � l - . . . <br /> � � �� � /.c..�� <br /> �y� <br /> ,,. <br /> 'l � " <br /> , <br /> .; <br /> fJ� � � . . . . . <br /> � � . . . . ... .. . <br /> �, .. . . � .. . , . � . <br /> YX ` Install plumbing systems: r� $ <br /> � Sig�iaturc of applipnt <br /> ��� ;= Inshall ` ;� . <br /> � '',sewage disposal systems: Fee $ <br /> � Re ir <br /> �.. � <br /> ; � Install <br /> Re 'r �ter supply systems: I+ee � _ <br /> � .� _�./ <br /> � -t- F� $ C .� Signature of Villa�e O�'icial <br /> i � ��---- <br /> , <br /> a Total amount paid to Village........ $_ _ �/��,�.,,� , -�� �,�: <br /> i -------___. <br /> �{, <br /> -� <br />