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PEI�MIT <br /> ' �iTY OF ORONO PERMIT TYPE: <br /> � :;��r�,r�I���� <br /> 2750 Keiley Parkway • P.O. Box 815 PermitNumber: :ii;5'�Q.°� <br /> Orono, Minnesota 55356-0815 - <br /> (612) 473-7357 Date Issued: ����!f�:''����' <br /> SITE ADDRESS: <br /> 1'�.5� °==Ni}��'L I hJc GI�: <br /> _�E. <br /> I=' . 1 . ±�f . , 1 C�-i f`-i_.-�.�,�-f:C�f� <br /> DESCRIPTION: � <br /> F:i�� lt�i�-�� F'�:��rr�;.t. TY�=� t'iF��i��� <br /> E,�i l��i�-��a �,���i�k: Ty���- C=Et�i��—f-�i:�::��_;:_t��'� <br /> . L•1 f! y1 i,lJlJti(tV , <br /> � t�f.tl4dt!'� !'L�Tf'� <br /> ! 11�lT/t4L L•t ! 24L <br /> i1J1J14�t'L�VZ! Y! <br /> V 1 �V11� tL��Y3V - <br /> 1iLGi{11.�Vt��f y n <br /> t7� !�A1 �.i} <br /> � Y1 VLf� aJV <br /> f..��lL4/� ;L �.lt}�JL� <br /> � I�i.�'i�L 3_}�tlAA! Y!•i! <br /> lCLLL11 l 7!lf7ltl� !L�L' <br /> YfL.�l.J1L..0 4V1{.�1 I���JL !27•11�1 <br /> . i!i 1�:}/L� <br /> V4'!,t'7t t�J <br /> REMARKS: Foundations/ all demo debris to be removed from ground and disposed of <br />�ff site per PCA regulations. Wells must be abandoned. Inspection befo-re back- <br /> filling. <br /> FEE SUMMARY: <br /> ���__.�� ��:� �:t:�_r. �l�� <br /> �_,f.a�,�h������ ----------�=��3; <br /> �3_��•�i�. �r�t�• �s•!{? .�i_F <br /> CONTRACTOR: OWNER: — ��'�� ���r�t� — <br /> '��r�i L���i`�: W���RLC� <br /> �=:t:�� i�r. <br /> i:ft`v':=�i A! ��i�V tli�l ��;_.��:� <br /> �.-�;—�.��.:' <br /> f«i'�j� !_�i'�'_=y�.-� m i t_''I �•-k ' '.{�-i.I}' ° . � � � . ..}�� ��}.'.��i . �-f F 3 �e�.�`M�sii�i:•��-�-. <br /> .. � ._..,_.-. :._ ,— ... _ ;rv,,��,��,z T=;` ;i I � �! ��_� . `�:�.� �; F �';C�-3:_ �#"��''�ii_.,F�� �, <br /> , , � ..:i•d._�• a :?w;�`��_�'� 3'.:._ �.,-:i�.�, �:_ .. ;-_ � . , <br /> -•.�,f-�;�• F };�`� ,C;i:,�- - �- -�} t ! 'j' � -�^y��T; — - = - -[. €.�� f�; y �. <br /> . . �.x �.4...�,�" ',{'_f�' .r-iS�Li„• �•�.__?'::...���� . �_: �`'_i �':°__!_ �t'!�Z�'TF'•. 1��'! �' E . ._-r I .•�.�1�}��_..�.1"'{I�§�•� s;i 2. t!� T'!3_# r. 2 i �7. _iE" <br /> 1 � �'s <..i ' hr.-. �..i .�°_ .� `t... _ .� '_• _ _i'� f��� T s3_r� � <br /> !_,l�•,l !y•��_i _:t1%!i:'•;t-i:'?�•.:��� -:!��k1 _ ? ?-3 3 i._ �..��" i'}�t.fi'a;-_ _� ? H �':1,_I 1 L��2!}•..� '•_�_��.��'� i:t..�_!?�3:':�?�.._i�i ��_ . <br /> L f, J <br /> �� � � V, <br /> APP I ANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />