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PEI�MIT . <br /> �;Ii`f OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway • P.O. Box 815 Permit Number: �_�����`�`� �-< '�`����` <br /> Orono, Minnesota 55356-0815 i,[:.�_�`��� <br /> (612) 473-7357 Datelssued: ,_7;_;+;�':_;r., _ <br /> ��� <br /> �""�=P"� �DDRESS: <br /> _;"�, �:h�'�;�Tt?�c�.J ;�=�'v'(= <br /> ' . _ . F'� , r E_i L�.{ � "__�3�—!_��_�3.._.� . <br /> ,€:�."C cr �"�p�"�1�l�€�.. <br /> L�>_.A�� a:," v �,.f i•� <br /> _ .-. � �.. : . . . . __. _ � - _.._ .. . ___ . _ . . <br /> - . � 3�,�- �. i: r��., �:_Y: ��•r��= <br /> _ ':�1t='!� :t �T-�f' :�j?l . 1 . , �' i'ti.L•=�.�����{__ <br /> L.�.i a i v% �,:;;'::,'t;� <br /> � L�i�.r 1 L�L <br /> .��J._�_ _ iir}� <br /> k'.L VLl.Tt _...a i�l• <br /> �!i S* <br /> �.—�L_..�+�V1'L. <br /> _'1 LL f z�'y.° <br /> REMARKS: <br /> FEE SUMMARY: <br /> [.H'-.r'' �'f-::t'' *fr.'iL (3F j <br /> _�l.+�3�_!J�+-i..�~'-Fr i_ T�!t <br /> �{�{T,L ) �}:ai �����._.^`�—�r �i:I <br /> ...i . <br /> CONTRACTOR: - ��r�:; �;,�;;t. - OWNER: <br /> 1.?l-i�f� �i-it':? '.'� �'! __���`;`•_� .��.•''�<__�%�':y�= i�:'—''i�'-1_������i �"�i�;i';�_4��1 <br /> �,.;,() �;t���}"i 1-i:f.... t-��t�� ,:..•`G �..�i�`.-, i ti1�G� �11�� <br /> ��;ar��.lt= ,��'���::� }•1�•; =�.=:°�,i=: � :.���s�:; ? �;k::� ;•1f,a �._=�=,�f< <br /> f:�:,:._? . .. - : . . _ . -e.� <br /> ..� �'�� �.!�`-Ii_`•`;i:��t t�3�i!_E�� �-t?:�"',�`��; �"':{�_!�:�t�=��:` y,4.-�.:7�-.,-•'•� ti'-; �.;{ €,�:'jt;.:�" ':�_<� C��" t ''�.jC=�.:��-�',f�3.i�_ ' ' <br /> Li�.1�E1•._-•�'1. .� !:�{'"'�i� i i•_��'. � �' <br /> _._._._�_ _ . ... _ _. . <br /> , •, ,• � . r...�—,-�. ,•-.��• :,-•�:, r.- , ,�:� - - <br /> ' ,..., r o-� t-.r-1-'-•� ' i�# �!i i �„_, �''•i S`t , ;'-1 ' : r:' ! : � ��...i;yt�'� ;�=:;`J�� �xj I r•t �^�L: <br /> �=�i t'.::_.?"' �.L.,t..? t�::�� .-.t=�. .�...�_. a _. . _. r�i ._ r!_.r i�•. `,. .. . _ .. . _ _. .. __.. 1 � . . �_� _ �. } ��. .. <br /> t ..�iS'-i `='!�� j t.�;'•��,'�'• _ ,{� ' ,�;= i ; #i?'�.i�'=<' w:i ' i` i=: i 3s �-,���ii,_.� :;i�rti2. <br /> L �.:�.�_`:- _�3•::;_ :3.�`=_ �'?I�.� ._ �I-l�'- -, i'I..:t,a:._•_��� 1 i-4' �_ .%;L�1>E�3•_, ��_'#_. !l _�"C`�;��..���� . I <br /> J <br /> V � <br /> APPLICANT/PERMIT E SIGNATURE ISSUED BY:SIGNATURE <br />