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� PEI�MIT <br /> CITY OF ORONO PE�MIT TYPE: �=;;�€�i�� t, ���;-��� <br /> 2750 Kelley Parkway • P.O. Box 815 Permit Number: '�"'`�:�1�`�_,-. <br />� Orono, Minnesota 55356-0815 ;%��%�`_��;r"��=� <br /> (612) 473-7357 Date Issued: <br /> SITE ADDRESS: _�;�,� ��:_;;; r��::� _;�i <br /> _�,`r <br /> �'. 1� . t'�! . . ���;--i 1 7--�� ;--i:_:-�i:Ft i:=:i' <br /> DESCRIPTION: <br /> '.�,��;'�i' �{ u�:t�.�=?�' �`t�}'€iSl �. ��.:.+W `._�f;(. I:�'�}! �f <br /> _;t�,-���,tr���^ L� f;r��t._?1' �d�{t 1'�: I;/(_'� `�:��_=I�'t�f`a ti�� <br /> -'?"t` �' %i��:'tdtii <br /> L.L: � V! i..•:tL'!7L' <br /> F'�s;.::,'� +'=?"i Tj'�' <br /> i s iti'r.'i1L•t= iii� .i L•� <br /> .i. ... _ . . --,i}t! n <br /> c:��::C�i.%'s%'vv�: <br /> :t: ,r++s --:'t Ah <br /> L�i 'v��� L'v.'vv <br /> !�'7.Ii!'4 T�s` <br /> � t•flL4!\ L L'Vi11f <br /> j:".+'�"j�;._�iJAAlh' 4'f iit <br /> �ii.i,�iz z r��rnrti �vv <br /> t,;-•;:.,'.;:;-y .—•i-.d ;�ji `j i,:y7 <br /> fYtlVt%1.'�f L•VVJ. 11V1 121.�•VJ. <br /> '!�? <br /> y�l: VV!!tJ <br /> REMARKS: <br /> FEE SUMMARY: <br /> �:;�-.f - ��!=° ------- ' ':i.,) �a�i,� <br /> Tz t t.;�� ��� ---.tii i t�i� <br /> CONTRACTOR: �l��R; - `�`�'�''� �`��"�. - <br /> "'. .__ `.1 i��`�� <br /> =;:ii--,� �E;'.~;i}_i-zk:.� ��I <br /> f__i Ii'�ii :Y�1���.� �'�:� ��,:,�'��, <br /> . ,'t-,--__:.'_;•l�i,. <br /> I�'�� #_�°'�? i'''-t�T-,t�� 3 ti::���C�='+� i.;�`_���t i ���� - - -{� - �:' -: i s�.. n.`�:�� i!`ii"��' i� •t-!� i- <br /> - - T. _:.._f ._ .�i'�':�.L., . .._ ___ t�.i._•_�_��`•���'= �°��� .. , 1 '.,:_�1 t=1� ! i i :f--'t��•.� . . .. :?+�{�:�i__;1 : '_ <br /> �'?�."�_.__.1 t`' : L'....` �;;iyi: i-zi:f•:��_ , :_I �,:%� �a�_i_ �i�_a�.. . j r`v _. k ,'s!:�.:: � _:_:i'il'-+�__rEt`�i.;G �=���i�j �=';:.( j�__!�'` �'�� <br /> �_,��...}e`'j_, S_Ft�j.t}rF' a�\ �- 11� _ ti�_ $ . 4�,."i',.`,.._:t � . _ _.. <br /> ._ ._. ._ _. _.:�i :��.�•.`__� `r-i:311 _ : rzl � _t !'��I`�;`��" .'_fij-` �':t�i �;����-�l,j _{I�s_: } r-(.ilsx. .i�i��t'��:� . <br /> � N � <br /> ) <br /> ' � i <br /> APPLICANT/PERMITEE SIGNATURE - ISSUED BY:SIGNATURE <br />