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City of Orono <br />Vacation Application <br />SbeatAdftw <br />VW Way Parinray <br />Ornrw, MN <br />Mak M- 4900 <br />SU16 <br />P.O. Boot 66 <br />Crystal Bay, MN 55323-0086 <br />1 d We request an Easement or Right of Way onkor adjacent to the following property be r►a dmk- <br />PROPERTY WFORMATIOW p <br />Skeo Address: -.2.SSS RA&iLSME N4= pm� <br />Submittal Re"hvmenb <br />PROPERTY OWNER INFORMATION: (Compile lega! names and mar0al status required for each hftsded perty) _ <br />Nance: Q d ar t 6101 6 9 <br />Phone (p = X11- 7—SG�9 oW»� <br />MaNngAd 1-2.rr' <br />C#y, State & 71P -' <br />13�s•� <br />PWIRrYOWNW <br />' Aev�! v�✓�r v C� 1'/ab 6rt e s nt�� s.`1 k d c + <br />w <br />y�ku2m=d in cmdemE4toS b' <br />• COMM 00 the inion euppGod In true and oared to the toast of htellror knowtadpe. Tho s and owner rete that <br />bft awfim 90 I Nil u to do so, tm staff has no <br />� mjed Hurd compiete mun amm! dw ro tordentei otihe n:� d <br />reMp� d ite pot o In mwiL <br />• The Pmpedy Owner hweby ackrawiedges and sprees to this uppi1cabca and bather authodaee reasonable entry ono the properly <br />by C y SW oonsubr* a0uft, Camnbdon and Cound Membees for purposes of tmreudgetian and w ffico* n n lids ngwet. <br />• o Is ed <br />unable to atlan" a adradtdodd wad n8. piesse mr>gerrmnis to h e <br />ardhodz d rams a atl In place of <br />the appicindlownsr and advice the CNy Pismar andoned to yaw projad. <br />pmpwty Omw SigrmhNa: <br />�Pmperty Owner So4we <br />Vacalirnn AppM Ww - ry 2017 <br />