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STATE OF MlNNESOTA DEPARTlENT OF HEALTH ABANDONED I�LI. RECORD �. �ou►ttoN of rtu ' MINNESOTA UNIQUE ME�L N0. �H26404 fluv� bl�et f/ not k�qw) c��^�r N•�Hennepin TorntAlo N�N Towes�ip Nu�ber a�nye Nu�ber Stctton No. inttle� �. YEII OE1TN (to�I�t�1) O�tf f��IfO N E � �0/ y Orono 118N s� 23W Mr 28 SW NW SW ' 183 �`' 10/06/92 � Nwertcal Str�et Addnss �n0 Clty a� Mell Loc�tlon or Otst�nc� 1rw� Ro�d S. ORILlIN6 I�TN00 (1/ lnorn) Incersectfon 1�C�OI� tool ��v�rs� 7[]pH q� l�pu� • 3185 County Road 6 Long Lake 55356 �i+oi►o„ �oe S[�Af r ep�er.e �ip sAor e:ue loueton or .Klt ��oearr EQ J�tu! ��oiwr AuNr (in settlon qrid rlt� •t') Sk�tch ..o or wll loutlon 0. OISTRUCTIONS N Me11 opstruct�d Q►�s � Ilo - � . - • •- -� Oeserucetons n�evN Q��f []�e If oltttietfoni unnot Oe . . ' ' � ' ' ruerN. coet�ct MON � � M - • - � • -I. _ E MtlCt�.•t�.�. . � ; � j �. usc � - -� y.a. I�Oo.estle �Ibette�IM �IN�t loe� � ' ' : I 20 Irrlq�tfon SO/u011t �I�Ou{try ..�. . .-•• - � S ' 1 �]T�st M�11 �MuNt1N1 1!�C�rc1�1 t .:r. 7�af�Ct�M!tl�efe� U� 2. PROPENTt ONNER'S II�IE l4111eq �ddress 1f dlfferent tA�n !. CASIN6(S) property �ddress Indluted �Eow lf7 Bl�ek �Thry�d�a 7(� Henry Bra�itir�ham �e.i�. ep wte.e �p vi„c�c ep sc.+��.�. su.t �uaoNass oF 2 l. FONMIITION LOG COLOR FOIIIY1110N ipOM TO ��• t0 It. If �ot knorn, Indlt�te foneatton log /rom new r�ll or ne�rEy wll, in, t0 ft. 9. SCREEN ❑Scntntd wll tro�_ft, ta ft. � (lf tnorn) ❑oo.� Mo�• t.o._�e. co_ rc. 10. STllilC MATEI! t[YEL 1 n2 �c.�e.�or ❑�eo�. ' 10/06/92 �.�a su�r.e. ae. N..�rn� ll. YELLMEAD COMLETIMI tp vtei.s• �a.ou� ��wae w�t�� 2�l�sernt of/t�t � ][]M�II Mt 16. AEINIIRS, ELEYATION, SOUIICE OF OA?11 - CASINGS REIqVEO. CASIN6S /EIIfOMTEO, ETC. 12. 6ROUTIN6 lNF�IMT1011 1�IN�t GMet !�NeWMit� � srout yurtal 4 �9S Inr„Q„q1,$,.3tt. c�. rds 5 ___._�.. _. _ 17. MEA�fST SW�Ctf 0►CO�TAN111�1I0� � _ r..e �tnettw e� w�11 dtsinl�et�d O�fors sNI1Mf Q r�. t�. vu►w p t..o�w �rot ►n�t tYD�: lQ SuMrn111� �l.f. TrM1M �Rltlorot�tln� ' 7Q J�t Q CatMf�l y] IS. ExiS1IM0 IlEllf (/1��N tlt�teA i�t�tiM/ �f�Na�enN �nt �eNr� �Nit1 f� M�rLf NtNa er ai Nct.l Ocn�r ueufN r�lt(�) e� �nN►�lt (]Ya �IIe Ap�ndon�d: �I�rs�n�nt �T��ryr ❑Ilot fNIN U. MATER MELI C011TRACTO�S t[IITI►iCA11al TMs relt ws f��l�d unde�q JuHsHetfee �nd tA1• npre 1s trw to tM b�ft of q tMrlNp W l�1��{, 271 6�l'��`�Ii�'�wa"� ue..••�.. . Addr�tt ria le in NIl�T- s+o�•a wa 1 06 92 Tan Stevens a�, 0 iFICI�I AWIOOMED YELL 4fCOND (May'N u��d Ior Irop�rty Tr�ntl�r) N�r o/ Or/11�� I�QlJIIlr Illi MI7! D6dD