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PEI�MTT � <br /> CITY OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway • P.O. Box 815 �����f--����'�� <br /> Orono, Minnesota 55356-0815 Permit Number: �,�;�,1,:; <br /> (612) 473-7357 Date Issued: :}�/�1 i'��� <br /> SITE ADDRESS: <br /> •.����� idti4'?';� �_=H��F;� G�' <br /> C:H <br /> �' . I .t�1 . = i r�-f �.?-�_:-41-i?i�i r�. <br /> DESCRIPTION: <br /> �{��'��_}���L ��E_ZR��FE/�{,_Ef_!� <br /> E�ui 1��i7-�g f='��-ri+it. Ty��ti '=�-ADDI�El�13����! <br /> E���ilt�i��� 4��,��-�:: �f';���� �'�:E�;C:N <br /> i1F��: i�r rs�c�:�pr_y � � R—:� <br /> �:���i'1�,{•i��#r t.i��it E �y��e �fi� <br /> REMARKS: <br /> '=��F'f�l�;�l�E �EF�t�f I T ��i:;t 1 I nED F►�+� E�E�:=T�t i t�:r�L t:'�T;�TE? . <br /> FEE SUMMARY: <br /> �i`�L.�_%���3_?�� `�F.� �i 1[3 <br /> L��� V� IJI�ViTt+J <br /> ��+5- �r='l= ���{} (?{i �TArhi�t:'C t`fC��'P`C <br /> e t t rn� �.L �i + ��. <br /> �'��!17 �lCVI�'� ��!:. , �st_) f7#sit7/'�rr�r� d,= <br /> � <br /> 1Jir�1L�V�VV 1f <br /> i• .t �� r�.� � '�� j'}7 !���j Lt� j�� <br /> •=�1 ��C4� ��'' ____._..___;¢_SI�:a�}.'si'']-i f iti I.�Lfi :Vi�%{f <br /> ���±T.Cl� �Y-L_+ $��?1 . !� 1JJ�VlG}V( VV{�!�� C�'} Cr � <br /> V{�1J' fL�7Lli �,tL7�J� <br /> 1 L.r.it 1r.��V'�V}VVj'�( 7 � <br /> �/1 VLlTI �7stJ <br /> L•l/LVI� (L 3�1 a�J <br /> iii�.f.�j�=—iieni'�ri�1 i�r� <br /> t,f JTJV 4rVlti i\V}1 1J'�11 <br /> VJt t�llff j <br /> CONTRACTOR: OWNER: — A����1 i cant. — <br /> t1t�R7 I h{EA�� _�EFF <br /> •:�F,� t�I�:�F��"N '��I��:►F�E C�R <br /> t i}��;�t i P1}� ��:=:��1 <br /> !(.1:=:—�i,__}�, <br /> ,� i ��j! - ;�,J;: :-� �.,i_��, �•{�,;,j ��::�,-= �^{ } r ',�} r-� -•E.�c z'� ;� /� }i�.� � �-iy,�� <br /> ; ! F� �_�=1�.J��R.•�' 3 :�.9..i } }i_.�c.�.�'.Y� �.L.,. �__._� i�_ i"+3'�#'[i'����:.�e���t� i �_ ?LP�{...;•...i.� ! !�._� l�.�i'[� �f�I�'�v��{'J��f*it�.�'�i �� <br /> ' "r"L• T + r: -'r .R.:�:. f i'j .t !"��:L'' T b.` _. � � I � I-; ; <br /> _:'r'r•�:�.�' 1�:.�.. t-;# . 'r:��.��F..x.__. �i_1 _:6..� . :?..j. 'I_: , � _, �'r';�.i� _. _ji'� 4•a t� #. � � r:��}� f_!�� <br /> f� r.:�• r, �: l F`L_i :f�v�. ¢I r;__ <br /> -1-��ir';�� i i' `'i i. �i :. �.i_t t� ..,:= i=' �ii• ° -:1 i�;� -;1.;r t ' ,.' {:! i +i= i�i!i �-i �*�#�j����'_` - <br /> _i-1 � 4_ _I'.iJ .�i-j d•_�' ._ :'�.`i i_ =� �.-� . .__ _'v E�f•::•��:_ �. �i _ . .c:.,..�}. �'�•.3 _�_ s��',��,_ �± t�'. z <br /> L � � <br /> ���n,a-w <br /> APPL AN7/PERMITEE SIGNATURE ISSUED BY:SIGNATURE � ) <br />