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i <br /> � <br /> � <br /> 1 <br /> I 5. Th�Pr�mises comply with all setback and parkit�laws and n:�ulations: <br /> es PZo <br /> Comments: <br /> g. The Premises are locat�d within��ederally designated flood plain: <br /> Yes No <br /> li If yes, specify th�n�ture of�lie zon�: Zone x <br /> ; Community Panel ��2701780303E, dated Sept. 2, 2004 <br /> � <br /> 1I 7. All appropriat� and required city parnuls, licenses and approvals hav�lx:�n pr�vided for�lie <br /> intend�:d us�of the Premises: <br /> � yeS No <br /> ' Comments: <br /> ; Ii addition,al spae�is required for any of the abov�,pl�as�use the r�vc�e sid.�:. <br /> If then. are any additianal facts regardixi� tlie prerruaes aiid ics proposed use �rhicli would be <br /> j m,aterial consid�:ration, please iilelude tlaat infom�ation: <br /> , <br /> i <br /> � <br /> ISivmature of Authorised P�rson: ���� � — <br /> f Typed or 1'rinted Name of Si�tary: J��� .�7l�NDL.�Gf-t <br /> i <br /> � ��i� I��QILi�P�" Date: I /o D <br /> � Tit1e of Signatory: — <br /> City or Other Govermnental Ag�ney: Orono, Minnesota <br /> � <br /> i <br /> � <br /> i 78926/1 <br />