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, � z� l <br /> � � .�� <br /> City of Orono � �� <br /> � <br /> Building Permit Application <br /> for New Structures or Additions <br /> MailingAddress: Permitnumber: ad//� a097y <br /> �g,O�. PO Box 66 <br /> r�0 y � Crystal Bay,MN 55323-0066 Date received: �'✓�/� /1 <br /> �I �'"� ' � Received b G�S <br /> ` �"7 a,, StreetAddress:' y� r�� `� <br /> \�'�c, ,�k� G� / 2750 Kelley Parkway Plan review fee: �ZT l0 T G� <br /> \L9g�H�g�� Orono,MN 55356 <br /> , ,�p//— 00973 <br /> �- <br />