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Home My WebLink AboutRequest for information { o,¢�a�o City of Orono FOR CI'['Y USE ONLY P.O.Box 66 � 2750 Kelley Parkway � �` Date Received �_ �a: Time: � Crysta]Bay,MN 55323 ��o$yo� (952)249-4600 RE UEST FOR PR�P�RTY INFORMATION f,,� � �, �� ` �� Q ��;�,,�. z � � � '�,� Internal, City Use Only � ` �(�: ,t �`�� t �. Prop��ty�nforra�atiorn: � Type: _��sidential ❑ Commercial 3• s ° � f�€ � , Address: �� G '� ��.,�� '� �� t�,�`` �,�. � Requestar: Name: —z=-�� '+ ' � ~�� -- � , `� Company(if applicable): Address: CitY: Zip: Home Phone: �''�;� h y�-� F s ,�- �- ,�:.. Alternate Phone: �- � ` ti % �- � �° �' Qaze��ns regarding t�� .bove�ot�d p�°��y: �� ! � �.� �l� r ��.� ��@ �� >�i � ��!� P 4�i �� E�� 6 � � f' 1 �: �� tl � � � �z.� 9 �� , C., � ,� � `� '� �� ` ��" � �'�� ' '- � � ` ��- "�� _�\, N��.'. � �-Y�,t F.. ' - f � �� r '``J ca t � F n � p'`�`}�,.-,;, (-�_._ a s�'� ! ��•'i� � �� a '> E' � E � @��i ��M "� r"`a r� `�' !� � k ti S.��..c°`»,..j. � �,� '�i� k � 9r:��S , . � �'`� �-��. � '� �'y {, � p+:i bo f . ' . ..f�� `=,6�� N ��, N��,'" F ..`, F 4�� 4�R Y�. R I Fl�. �� J � ' /� -f`'� �c_..� r t , ` B � � � ��'. ,� � ..p, � �� r� �P+.�� .�" `" q' � � �� (, �( ` � '! � �� — e`�✓E'�a ��.�% �°s. 6 �:'�> k :�i: F� �' f ,'�✓"�i ` '�� f '':-y � °.� i..�t% � � � � , t I �'� �i � 1�.s'`✓�`�s,lti ` �� o�r� } V:\(Permits)\Request for Property Information Form.doc Last Updated: August 28,2007 ..�__ . , .. : �-_ . . � e ...- . _ ,. . , . _� . . ._. . ._ .� , ...; - . ,. �, , ,, ; , � , _ . . . -.3:.. . . .. . . .. �i.��4 ;� .