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PERMIT <br /> ITY OF ORONO PERMIT TYPE: <br /> 750 Kelley Parkway • P.O. Box 815 Permit Number: ?h;'_, ' <br /> Orono, Minnesota 55356-0815 <br /> (612) 473-7357 t-?`j�=''.'= <br /> Date Issued: �;;_; _a <br /> SITE ADDRESS: <br /> 490 OLD LUNG LAKE RD <br /> CH <br /> ' . -R_118-2::-,,-,.4-• <br /> 010 <br /> DESCRIPTION: <br /> 1- <br /> I ;"a t._1RE _ _ <br /> l t�(ri �z 3�' �3'��'=�I'rtt�t• T P'>=` fir-- T(t`7Rp <br /> PP,I L.3mb�,l�j'ji Wor -.)+r; <br /> C L�'f> RESIDENCE <br /> 1 WATER '_i_��"TNER <br /> Ci�T'Fv OF *iiri Alii <br /> I i UI L.'t\vlry <br /> L lP.eit Ati'L Iirrr't. <br /> I 11TTTITLrL Lt I 1L•L <br /> ?'i 7 i t i ii}i ltiii ft <br /> 1J1 JJL'L�VVV IT <br /> f't €tI <br /> V •LICIT wr.•VV <br /> • ii <br /> i Gi-c:a::`tt(l'Vvv TT <br /> ii# i'rIT <br /> =-.tl <br /> V.I. LL •,JV <br /> 1��.1 i•�IL)VVV ITT <br /> ii7 ... <br /> i.m Y =i6 <br /> V1 LICIT 1•JV <br /> CHECK %t 7'� 00 <br /> LIHLLrl\ IL pp � l''I •VV <br /> it:q.17-I'I,Ir,Iy I i U <br /> iv i ri 7: i't.i i Rol T+7• <br /> TTJ1illt' L+t V1 Ic 1 tl.J•.L tJ <br /> }c, <br /> REMARKS: <br /> FEE SUMMARY: • <br /> VALUATION $328 <br /> B is Fee <br /> $.__ O�? MAIL IN 11-5C.? <br /> :urc1-t•_;rg � ;� <br /> Total Fee$ l}C} <br /> 37 . <br /> �;D#:f tt•a1 $:_'' '=c <br /> CO TRACTOR: - �`I"'I i c:ant. - OWNER; <br /> 3�.t.__1;1�3t�?N . `j:.1.---'•7=(:)(-), _ l Lfi 'i BARS <br /> F,i} ;c} :t3LLI�GAN H'/ +' C} a iLt_i L ::iN L; s;E I;C? <br /> hi I NNET3irt -'H i•tv : q 5 ORONO MN : ° 1 <br /> { f':'1 2.} 933-720t <br /> } <br /> 476—i} x•26 <br /> B t; . E <br /> . . ENI:`THEREQ.T ALL_ <br /> LOVITN, <br /> .x Tis EI SiON TO MAKE IANCE FY Et EA TRICTC M IRE ENTSk3ER.I GE S`T DO ALL WOK: N. SBUIL# ' RE< T D 1� E „ , F IN 8 C F E ` 2 , STAT V ,CRO <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE C , <br />