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PERMIT <br /> Cri'Y OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway • P.O. Box 815 Permit Number: PtMP:a Nig <br /> Orono. Minnesota 55356-0815 ? J. <br /> (612) 473-7357 Date Issued: 04/0:"-,:.1C44 <br /> SITE ADDRESS: <br /> 37:30 WATEF T$=UN RD <br /> CH <br /> I . irk N . 11 <br /> :=- <br /> DESCRIPTION: <br /> 1 FIXTURE <br /> F°i,. mbinq Pei-mit Type FTX TUBE'_. <br /> P1L4=fb r-ig Wo-f4--: -1-yPE, REPL AC:E EXISTING <br /> WATER '_;i iFTN_P <br /> L•1 J t 1-11 vj%L•}TL' <br /> z 1,kLAkh---C f;ri 7J.r <br /> J ilTJTJTL•L Li} } i L•L <br /> _ L'1 LTLJT twwr vv <br /> i <br /> is icivvvvv rr <br /> 1L'J1 1 VVvvv t< <br /> f!* i La! :�-j <br /> V1 Way ov <br /> +'L�!'K• Ti AA <br /> Lr1 JLL•! 1L ti•1•vv <br /> REMARKS: r1WVV(VIV JVVA Vj I '. <br /> FEE SUMMARY: <br /> E•_;.=e Fey :5.1 . 00 MAIL IN <br /> Surchai-k:ie Total �ee $37 .00 <br /> CONTRACTOR: — Applicant. — OWNER: <br /> CULL I CAN 29:3337200 ATZLOFE Ji HN <br /> 6030 C:t_?LL T AN WAYT 3780 WATERTOWN OWN RD <br /> M I NNE TON#::A MN � J:.;4 S IRIDNs_3 MN 53,59 <br /> Tt^iENE a- � 'STS <br /> PERM, S I Ot `"Tit MAKE THE, REAL` T <br /> MIkO4 �T <br /> � � FIAmI Tt . ICIT <br /> OFt� I Na <br /> tl#�� ._OR11-I NANCES <br /> °INC C��►DE F�E�� I R T� <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />