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PEI�MIT � <br /> CITY OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway • P.O. Box 815 :=�Ly��:��� �:s �i�;t Fi�: <br /> Permit Number: <br /> Orono, Minnesota 55356-0815 f=���t�:��`��, <br /> (612) 473-7357 Date Issued: . _ _ <br /> t7�:,.''i;:;;,�;�., <br /> �lTE ADDRESS: <br /> _..;-� �_�:�`��Tt:ILW �t�� <br /> ' _ . �v . . i 1!�—1 ! - ,,_,_:—�,;.1-4_1i it.._: <br /> ���vRIPTION: <br /> �;f-�::;::�� =. .:_:�.���� =_.��::�; � -, ;�,,_: _r:,, i_,r�� �: <br /> :C':t�,'='i' _'? �t�ci�_.L�T' ��{=�1'L': # r�'= �Z'.�'•��i!���V!_��. <br /> REMARKS: _._ . - ti�;_ t_� :_��_ <br /> �'�t L L'! .'.- <br /> . � <br /> u.t__..�u....1 VV .. <br /> .... �!� -V a V V . <br /> FEE SUMMARY: �� -����_ __ �' �°f��� -- L <br /> �;�:..�:_=�_`. _ ��::;.,,, . _ <br /> = -y: - <br /> -�-��_�=�L��- --.:� .... - - <br /> E;���:, ���� � . f_:�� <br /> ..�f"�t�: 'r.!�l! {_If_j <br /> ����;� ij .� i`�-� <br /> '��t3�� !._�1'sl'_ ------ • �. <br /> € �iT._�, ��.',� �7L1}_, tJit <br /> CONTRACTOR: OWNER: _ g:,�,�,, i;,�<<�, __ <br /> t"(�i:�-I:_.��fi'� iif=�i;,�_ji �3 <br /> 'l�, {.�C��� f �',� F,�R6E �ftiJi'- <br /> !�-(l�t h t 'r E t�� _•s��� <br /> ���ii�.� �f-i�'�:.:_ �< - - - <br /> �.," <br /> r' ;Ji�,{ '�-( �'; -i.ii f:""�_."_�: �:1=+;�• � ;I #�:�C' :_.jt_ '_"L�; i i�q;-'�','i ;�_;—;'{� �_- <br /> . ! E'.� �, i_�i..�'... ��#vE..�.,. : � ...._ i . .�.� ,�1��.: : � . .._i:: I i•_*�_�� .�I�� � �� i F:� ..� � .._ F'�?� ._ _: !. : � . ....� �1����2 : �. <br /> :�•��r_:..,,.�.._�.�e ;",�•:i' -,r-W., - - .,,i ' _' :.i " ' ' � r.• _ � ' Ei " " �. <br /> �. r. -. C� i. <br /> ._.t-r•..:_'!•:` �.-.a..< r::`�:.f F�il.wi:r�._.,� i..!_( i_!i_.a F-;�.._! .. _�!'?�•. _. . _. � i"t,i�... j ?,,..1_;I ti`'i_�.f-iF�:�� t:°s.!� !-i�.! _ _ r`c` _:!= <br /> •T <br /> f`is�;";5!�I �',9�;°Cl'j i;j �f�.,r"• ;; . ; - ,$��:� �-y , �}�_�; ���;:r; i;"r;�tJ t�`�;�s� � (';! �;';�_} ��!,i�� <br /> L _. .���� _. ._ : f��::•�a��_� .- �"�.J �=I. _ I';�!`}I'a.._•_-._��f� a.�--•s -: i: _ . :_ i'`.� 1,•� >f. J9IS...!i .. . I <br /> � <br /> ✓�j�(��,� �G�l�/ � <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />