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J PEI�MIT <br /> .. CI1'Y OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway • P.O. Box 815 ��� }s���`����!f� <br /> Orono, Minnesota 55356-0815 Permit Number: �;;;��_.;;;� <br /> (612) 473-7357 Date Issued: ;;� ;•i�,���;;� <br /> SITE ADDRESS: <br /> .�,ii��� °���J�,r��t�,jJii��L� Cfi=i <br /> �_;� <br /> �: r,! ,:�- ' ; ; " —�"� <br /> DESCRIPTION: <br /> �`I�.ar�rt��t i�-s ��f..:'r:t i t. �;��r_._ ;��t7���i C��T��i <br /> :'��.L,fri�f=3l�� 'z���f;'t: �y'�-°� i"i�'_���1�z`�L�� <br /> �:�t.�•�: =:i ��: j „ <br /> �'��'Z.�1' ='=:!'l.ct 3 ��;�lfi i��r�•1` [�.�.•'';ii=:i:.L`_� <br /> Cx!='1'i'is�:t•r y,�i��+��+i' �•wi�Ifl�t�:i' (_?:`_��f'1i)f't:_� <br /> �•;.=t.=.}' Ty��;� '•:�i�l._.�`•�, <br /> �t1�7?G'�;?vv # <br /> . !'i fl�l?!�� L.Js.'aYY <br /> t'�r�/� �1 h fZ � <br /> L•7!L •! !L T 1 L�• <br /> t�L1�+L11�T i�rn�i� !i3V1 <br /> ���'�'�:? G�t;:� ;';71 T1�:IS <br /> L''�;�:19� <br /> REMARKS: <br /> FEE SUMMARY: <br /> _.. ,-... ;--,.� - <br /> i:�_:�___.� ��� -� i3�y <br /> -----_ ���.�.�..�ba <br /> �tif.=(�' �"��,! '1�5, y.:�, {�4� <br /> CONTRACTOR: — ���:_°i i���#�3�� — OWNER: <br /> 1^�';__=�C'7I,,.1l�, ': �'f_�_i�'��-���y�� __. .. ��:-'�, rrz',�C:��:= L:{_i�r�`����f}f.���Irl(•t� <br /> _`y�_��� tN i�'�3�fl���':,.�y �_°t 3!_t'-i ��.t.��,][-��f,�4 if t�� �1 i <br /> i„:�i;ff=.f��,L.Y�! �'f�f;E::, s,`';;y «:;�';-; ,..=�-4,_I;V::: ti�,� �:i�:-:�f-, <br /> . ._ ._.__:} �.°:':=; -.... . . <br /> _.; , ._ . .,i:,.' _ ._ s �, r[�� e P' r"�' '.T ..'f ' ' ' .. . _ . f.i _ <br /> � . . <br /> :r.�` {.F{?!:.%[::'... !`'C' `,_.i.:�:� �'._...�_,_�--- [ .. i—`F_�i�;%'._ �.�.f �:� '�E,,,# ;'lr:f•.�. � ���' "'•`F:!-:°_. €.:'i�`�;2_.% _.tn _..�? : .. <br /> .____ �,....._,,..,., . .. ...._. _ . . . <br /> �;;_,:.- . ,..i i t- — �-._.- - - — —� . �. — ' :; ;._ . ,.,. . <br /> i . �- i L-s F t-�;'`�i._ �!�`;.;�_s-'-� '_j __ ._ t�;i_t� �.� .� . . . �� ' i ._ _ . '_=is'��``i.._i i-?`.fi::__ ..a . :f _. i� i`;{T'-' "r.. , <br /> .._ <br /> : ;;� � <br /> , .. <br /> _. �_... _. _._.1 .�; .._�.._ ; r ,-��; t� . �{� - =�:�_ <br /> a t� 3 �i � { } r,e£.r.;t.: �._I�'t - �. t i i C ;� � s �:C:' ;;3� s �,•i�: <br /> .� ._.� a v t F. „ i . . __ _.. . ._.! ! .__ .E< � 1 ...__ 1.{ :7 _ _f._ i1�_ ..�".C'.. r �.. . . _ . <br /> ; , : , . <br /> p� �,, • _. . _.. ..._. ._. .. � <br /> L�.�� � <br /> .c o � � C.,2�� <br /> APPLtCANT/PEFMITEE SIGNATURE ISSUED BY:SIGNATURE <br />