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PERMIT � <br /> C���' �`� ORONO PERMIT TYPE: - - <br /> p 275�, � arkway- P.O. Box 66 �`�_� - <br /> Cr iinnesota 55323 Permit Number: _ _ _ _ <br /> Y" Date Issued: - -- <br /> ��12; -};� ���7 _ . _. . . _. _ <br /> SITE ADDd3ESS: <br /> . �''�' `;_`�°?�,;j�t:��:_'�� f=;�ti' i'�1 <br /> . .. . ., . . _.i{-'�'"" I F :' �_ _"3._....'L i:_' 1 { <br /> DESCRIPTION: <br /> i �:t'°i .L :'��L.i�f - <br /> i=�L=� � '7 ��`` I-`:;�:';'>>1 �.. ._$Y` �.T. . .__. ._. --. _ ._f:;Li`j:'i�'T;'�`_'i-iL 4 <br /> ��€.3 :. �_=:"j+:f };?�:;i 1".:; . Y':+�": j�!`._.t•;`�_f�_'si` <br /> tW�_=1��3�;�:.� i_:,W�:M�� i:t_:1� f-��_( . ;iF^`.���i:'`.r�E'�!:-i?._ <br /> REMARKS: ` <br /> FEE SUMMARY: <br /> _�.:;�_i!i� I y�_d�`.� ti•f' � -:[_it 1 <br /> � =�•�j:� rr_= �- - , . __ <br /> - -•�i �-.i�Ez,�r; ti::� - <br /> is_�t.F�,= i'F:�' ._._._���_.�._..iii:f _�:i <br /> CONTRACTOR: — . ._-- � i�_.��t. — ��"i . ;._i�=: .OWNER: <br /> - ..-- -;�,�•�: - ' i - - _ _ ,i :'•s.;.- <br /> .. . <br /> :._ ` .'f`f{- ' ,,,,, ° ! ' , :3.!'�_'- -`�-'•`•` -%1'___ _.:i-t`-;}-;.,_y.qi�, i-.,:i,c;i <br /> .._S_�.....+`.. .._ . . .__t_ka,.N�'�'.' _ �. f _ . . � _.:"� ''k=�,�,{I_��f_� t;=',� i,.� <br /> W _ . 4'^ <br /> =L:'_�'?: <br /> _. '.+:i=_�_.- ;t=t�,` ;"'s?`� _ .. — — — i:i��°iws�vi_i =�;i� _. .� .. -:t <br /> _ ....,:.s t�.;`:�_5 . <br /> �. .. ; ., r..--. r;: — — —.: <br /> !f-:`{- t;d�3 � .:i,�..��. }:....+_`��'i� ._. ��-� i �- �"?ir��_ .. _ _ _ ?I_: �':i-:F._. f '�..__ �.L_T"!�.. �� �S �� f �� <br /> . .... _ _ . ._ _.._._._ ;i�=�--- �_s'_� {'�:'i ;=�; i :�::;;=�,:� T��•' :it°i=`i •�,�:'.;. _. ..�` .;_. . _._. __. . . µ+,._ <br /> ._,y;;�:—.�.�-r:_�� ��..,: - — _ ' <br /> • . �. . �._.. . ,:. —. <br /> : . < i .�;._i.: : :,�i�: „��. .__�_._� . _ .� _ . ..__ .. ... .. . _.� _ . . ._ .� I� _ _ { .___�-s. ......_ ;.�'� . . :.__ _ - . ,� <br /> ^ ,_`_,_ _. <br /> t,,.sY �:`„(: ��_t:,� i .T-'-, N-ii`.€31 _. . . _. � . .'�a.. ., .L.� ..t�. . . _ '_� i !.,_ _(`.f; _�_'_%r_ . ._:S* _ _L..__. ._,.� . _ . � <br /> �s��_____�.,�-,�� �. <br /> �PPLICANT'PERMITEE SIGNATURE ISSUED BY:SIGNATURE ��. <br />