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PEI�MIT <br /> C1iY b� ORONO PE�RMIT TYPE: �':`.�==��r��'���:�-:�-:'_ <br /> 2750 Kelley Parkway • P.O. Box 815 Permit Number: �"'`'�='="� <br /> Orono, Minnesota 55356-0815 '-���'�`j��`'�� <br /> (612) 473-7357 Date Issued: <br /> SITE ADDRESS: �i:.i; '=;i1i�{;;;;�:il:'';s (.;:=i <br /> .�r_, <br /> i' 1' . �I . . :�i-1. 'f:� �_ �'�--i ir.;)i�-: <br /> DESCRIPTION: <br /> �-.,_.-�. <br /> r`'�;-�'-.-:`'--, i"__':i�-. - _.�__ .'�' �`��i�'•`:�:. {��:-�_�__�� t �4,� <br /> �'ll i�_��� L1;J:_��=: <br /> ui�i �.r� u i�v�i�u <br /> rii'�n i�4L vC�i�,i <br /> j a7 j�J�J�V VY�I! 1�1 <br /> v r <br /> i%i �t�}i v.i.v�t <br /> {•;zn��riit r}rl <br /> ic:c:tLvu Vv <br /> �%3 �4ei� .�ii <br /> REMARKS: <br /> FEE SUMMARY: , �::�_3;�j i f_i��,� y� . -;:ic_; <br /> ;:..M.._ .-..._: ���r°� . c_��_� <br /> '=�i.3�•Ci�c�i��� --_____ � .�-�,i7 <br /> i l�t�.�;{ i �'h+�? ^�5.�i�y�f f <br /> �� ... . .r <br /> C4N�f�lA�a'�: ::::;�.;;�,;::,�; :����, �_7,^— .L�W��: �:.�:.F'F'E.�i�fi=;f'. <br /> �.�:; t� 1 v <br /> 1:_�;;=.r_� }:����,�.;�.;..;;�; y���t�U - _==x:' _��_�{af�l�;��f_i1_i� "'�f� <br /> �.:.� <br /> t�!1�;�.;�,��';.:::=�4;=::E=; t�itd ��:;c�,�; I..:�?i���;:; L.�=��::E t�lt�! ��'�:�r=, <br /> �;;i=;�•�':� �.Q,,—_1�°_y'7 <br /> .i..r.� �{�t:ji,{,.[ ;- �._� � � F'� r`s' ,.��� }�_.. - F �.��.:� .. _. 1.f..t}� :�-, �f :�- �' .ir �.�--.3 T E(� ��i#!,,�_.F I�J : - <br /> .�.L.S._. . k.,. ._..i. . .'��., ._.... . i� �i,+•lE_. . 5 _. . .f".5:,i'" �:L ;'"+L. �,1—�. . . .�. . . <br /> . .,._�...:..,.�.._�.__.. .. _ .. <br /> ��r�,_3 ; t_. '.r;<..3 t.E''.�:' .-.°�� . _..._.. '��_ J�_' r•3t_.�_ ��3�....`''.�'. !.i�4 :• i'':.C!_ . , _!°1� ._��:I'�j..._. �'F� f E� -°ss.._� � i T'= '��. <br /> _. �f , , .�i s i . •�� � . _ _ _< <br /> . .. �tLf ": " �, . . �.. A . ? �..., � ; k;�:... .} � _. . : _ . _..`� i+ ).,.it`.�,� ... S <br /> .. ..+t_�i .t.= ..I'.��.).�.r rti (tiF.. -� .- .`,r�..- ... ; E.._ . S__ �_.�� ! ... f:�� _. . !�i . � i....w.�_.l ,._ _.�_�f,.,11-,: �' �'_:..' , �:_.i°ic._i�t . . .. . � <br /> � <br /> r.a �"�� . � . <br /> �� . . . . . . .. . . . . � <br /> � <br /> / <br /> �� <br /> APPLICANT/PER T NATURE ISSUED BY:SIGNATURE <br />