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PERMIT <br /> t C��'Y OF ORONO PEFiMIT TYPE: <br /> 2750 Keiley Parkway • P.O. Box 815 E�!�'f�C'I6��-� <br /> Orono, Minnesota 55356-0815 Permit Number: ��`��_,•Y�,� <br /> (612) 473-7357 Date Issued: 6���:._�f_�� <br /> SITE ADDRESS: <br /> �.'.�'�1 �+,=��,i a�; �_:�' <br /> .T�. <br /> �'. � .{'�. ; 1i}—� 1�—;,.'_a—:�,--T=1�'a=;=� <br /> DESCRIPTION: <br /> TEFr� ;a�t=r�°�—�°i ti_i� <br /> E=t�i lo�ii-�� F`�rrFsi 7. Ty�� '=:F—r�L�L�!"�Et°di=�L�C�L <br /> E�Lai 1��d�;�� t���_�r�:: i���� ��—F,i n=�F <br /> t'1;"�r t7� �f�t�,'V� <br /> �l�'��'C°E z:L�I�L <br /> .��¢�3.�ilt���J � <br /> t:1 �E�� ��.tktt <br /> .��t���t.:��C� � <br /> €�.� G��d .� <br /> c:�'iA� �L =a�.� <br /> ft;1�C�'1p�'T—��',A4!;J4d'�i�`�b$' <br /> V�JrV.'��Ji`t tsL��.•B� 1\V�L !lM•n�� <br /> f'f i�of':f a'�L;{ <br /> REMARKS: <br />' FEE SUMMARY: <br /> ����Rlt��r z+�r� �� ,;�i,'9�j <br /> E��� �Y� �.�.�, .i it=i <br /> =i�'s'��`!�!'�c=+ ------- �'i�'1i) <br /> �t�t•ci? r��'�' '`}.��� . °���k <br /> CONTRACTOR: — r�r�r�i�d��-�t. — _�i . L I�: OWNER: <br /> :=;��� �i��_1F I��l+� $;::�:_„:c,�.�, �,x��K f �:t l�':=���9LL _���'F�;E`r' <br /> =s':;_� H�hdi�1EE='I��! t�'�� '=e �.'=�:� s�F;E,iij�; �_;i <br /> i°�I t�§��iE���'�=lL I'=; t°��� ���.i;;=� �:.E�Ei=itils E t�t�! �e_.'��. <br /> i,{���,t� e i•:'_e—i i!_1�.F� l�i,ri�.����}/'�e <br /> i �^ "T— <br /> . �;;� ��t�!?�t��:=:i tvt��:�} �-=�;}i�:�:`�F �E�P��.��:���':_ �`��.�°;�'��'=;:r:��� '�i� ;�;'�ig-:E #�-tc �'����.. ���i=°�£�:��'�i���,�E`5`=: <br /> _��'�,4:��-�'— b i��'-7�� 6��-7°*���..^.:'� i�..� �I �;�S,i `�:` �'� _ ��'T i fy 9 3i i !N <br /> �C ��� �q�.*.i.. i��.. I�� :E a�,.. :I :tr�t°s1=`�.�:�t�=�� ���TE� �i� ::� . �'tt= <br /> � f'9 'E ff,!!.4 !_3�;i`_°� �',!" t. t` v4'� � -- �~� a$ � T����`r;�,! F��_�T f g � ;�i�R�Pr: �;_.. ?{a��'i���:i�1�.. . � <br /> �: �e t!^i{'� ��� F��. ��e�`�i d" � �l.E �{`°`} �.•_.�'+�� 't. �t,. r <br /> r <br /> � APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />