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PEI�IVIIT <br /> CITY OF ORONO PERMIT TYPE: - — - <br /> 2750 Kelley Parkway • P.O. Box 815 :-'.=.�`�h `=' l:�r' � `r'� <br /> Orono, Minnesota 55356-0815 Permit Number: i_.;+_;;;-�?, <br /> (612) 473-7357 <br /> Date Issued: �:_:r:.,���°:`,_�_; <br /> SITE ADDRESS: <br /> _�;r=,� E��i�'��I C�� 5�� <br /> _�E� <br /> �' . 1 . h�f . , �f�--= i --.��—_.�.—i:!_7i 7.i. <br /> DESCRIPTION: <br /> -��f,c)�i' _, �Jai.�S" Y��_i':j�'E i. # � :+N ,-.j;i_. I Ei'•.31 `f <br /> _���:JC1� :{ �t�c?}'�. �Af�j�'�: ? ✓i='c' ��`•= iU��4�_� <br /> _.,T�': i,� -,:fei�� <br /> L•1 ! 1 L'1 L�t11JITl.' <br /> C: :+.�ie`z %:C�Tr•r <br /> : liFnze�•� v� r l�h <br /> '';.•;i:`'lttitit �i <br /> .7.i�i.�LL'VVVVV R <br /> :i:t: �.i} i3i� <br /> �J 1 L+L!f !��•4'a V V <br /> '_Li"•�i' T! —� iYi] <br /> L�IlL4!\ !L aJV a Vt• <br /> '�i !1 t__!�+J.^.iifi' • �'t:t! <br /> 24LL�L1! 1 !1llfl�tl 1 LU <br /> tE! � t:t �+'lSf:� ���i <br /> !!i«)Lr'VV 4vV1 i\�J. l�1+J•�.'4 <br /> i!i .'!V" <br /> VL!'�..�r�.!7..' <br /> REMARKS: <br /> FEE SUMMARY: <br /> �.��,� ��� � . ��r�i <br /> =�'•_; �;f.;�:� t_3t_; <br /> =:�;i�: `' 1 i:i`.= <br /> �i'^i�L. ._�;�'!�.� --------- - - i <br /> ;-s t'�.�i} -ui=' ��,'i��_`' f.i�_�t <br /> CONTRACTOR: QV14N�R ^ �t�'�'� ''�=�s`f�� � <br /> ELi-�,�,�_E-�' F�:E�:! <br /> -�'�F.�, �it�,y:�:?'f_)� Fiii <br /> L���i��!� Li�F�=:�. ti;�; �!;=,�t�� <br /> ;���_���.� <br /> ?"=�i� E_'i`•i��._t'`.-=�I'.3i�±�� �{�i';°---:'f ?;'i_t:il s:-�_�``� ��`�;ii;�`•� =:17 li;,� T;; �''jili:;:�" Y;-i#� i�;i_i-?r_ ._"�(Y'�i'._'3'r'�_!°��f�•.�'_ <br /> <-•�.---.:� r--: -•�:3. - - - -- - � ,__ . � i - ._ . . � ; • - <br /> . � . � ,�r_G=� _ i'� � �G�'t�' `t �l t:�`= i • i'• �:G' <br /> -,t-;-i,. i � �s-f� ;-:i'?�.� f-:u�•:r`F . : }_� _.'!_; r'•1._�_ ivl_:t•:. . ii� _ . .;i! 1 _I_;C�il-`(_i�1%1if..__ `t?_ � � . t-E�_i. E .T. <br /> 2 {:��� i—I E''�' 'yji'.�•.�1r `':�li�f _ �..f � �:i- :'.31:�t— �—:! ?T 1 F!1 Ei�(> I.�,' ' _ �-,'E-l.t'..J i�'i�'_�r�t;' ;'F._._ ' _.. <br /> :-..� ...�, _ . _ _ .._ _ ; <br /> ..":i'�I�; ' �, .�--l�,�.:``_� �-iE.:� ''r l` ; ' _.: �'�_:,: I:._`�;; ;? �� — _�._-:::.���.� _ _....V =:t._�-_ _. ._.. .r__!`; 3 <br /> � _.. ._ ._'�: _. . . __ . . � <br /> � �Y F���, <br /> � - . � .�� �� : <br /> ,� �j . <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />