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PEI�MIT <br /> CITY OF ORONO PERMIT TYPE: �-.f- -. <br /> 2750 Kelle Parkwa • P.O. Box 815 ''''`��'��'� `` ��'��� <br /> y y PermitNumber: i?i;�,��,� <br /> Orono, Minnesota 55356-0815 - - <br /> (612) 473-7357 4 � � Date Issued: �i°�/:�:i�/r::�; <br /> SITE ADDRESS: <br /> �:L i:;i=i r,�;'`-1 ,;��� I�I <br /> _�_'#T <br /> . . s . �� . . ��—� ;�_—�_— ;�—{3��;_a�a <br /> DESCRIPTION: <br /> �;E�'F�I h '=�E:F���t�: <br /> _���a�_r �; F�1 L-�t�i� ��-`��,rrE a t• �'y�',� �,�,��1�-L� ii:•�i�i Ts�t�i�'•. <br /> '��r•_���r• �� l��t�e�� �1�_�r��-: T��°� �;E'�;IC:s��i�::E <br /> -�- � <br /> �;; - - <br /> REMARKS: <br /> FEE SUMMARY: <br /> ��tt�� i�� ��.s:? , i it�� <br /> '�;l�ti�r��cti��±' ________ �' �`i� <br /> ����.c;� �'te`�+ �s '=._}a�i{_; <br /> CONTRACTOR: — �3�`�'� �r='��� � OWNER• <br /> �:t ti i_I�������' � �:L,';�:'I�:E'�� I t�fi.:: c,i�:::,�.:;�,t�:_; �_t�t::�,��_� W�E��:������..l���i::: <br /> :_;i�,�.:� Hi���`f 1 t}i = �:1�:�!i F,i!-� �:?E �i <br /> ���TL�i��•1 ��� �����51 �_��'4�_�I�f_a �� �. <br /> � :�tri.��`1 <br /> �,����, ;? .� _-- ,- _ _ i.•_,t _'.1,�-"_--�`'_ . <br /> _.. . :.,,. _., _ _ _ _ . <br /> �. <br /> � LfC ;_:t'ui:ic-�`� i �-t�`��-�f t �,k,i�`r �tii;•,+,=t.f::_� ; '.,-, -'?�iil•�.�.`� ���i_�i`,� � !_: i�:.'.,�" ! €-��� �?`S�'%-if ., ,:'-'�sl,:}:��'j.i���"�� <br /> � . :_ ._._._. _ __. .__._ ,_ _... . .. <br /> , ,-.��=i:.','•T�' .'"'"r•'. __ ' - - - - t� - <br /> , . t ;..__•z f �' � ?�:�4i�} Hi.:1I':"r-'.�� j�_t �,�I � 4=�i?_{,._ :;.;'"��:;+jC. C;;. �"f��T r'�''" s.� �f*i,-�� kf'�f�'.' 1 i (T I ; � _. <br /> 1 _.�.. s .. � . ...r i .� ._ ..� � . _:7���.�'^_i-�,}u�.•.� ���i-3 S"'f?_:._ F� <br /> Ls !i tj• _ ��.r�i�'•. _' =•:3'�, " ��1��`_ "'�"` `-:ii E ''i P:.._, ; _ � . .--�. <br /> _. . ,,.. .: . <br /> , <br /> ' �.����_?:�t�_� a_..:1_.�,iv.-;�`�..�_'_• t-e�w , '._. `. e�: . _.. . _ _ . ri _ . f c_ � ,.f:_:� l;'iW1[,,�. �.`:. ri,;T#`;•.`_.{'i�_i+�' _ . <br /> L' � <br /> �V <br /> p ��.�---J ��i� ��� <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />