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f .. .. . . . �,. . .. . .. 4 0�.\ Cih�of Orono FOR CITY USE ONLY `r P.O.Box 66 �s;�_ �� 2750 Kelley Parkway � �k' � � .,�`� ���.� � � "� a�� Crystal Bay,MN 55323 Date Received: 4 ���,�ti�,Time: _ �'�-�'.— �dA 2^�a����o`�� (952)249-4600 ��_����/ REQ�TEST FOit PRQPERTY INFORMATION I��ernal, City LTse Only Property Information: Type: %�dential ❑ Commercial � Address: � � ..•�' � ���I� � �� � � ��'� � � � ' Requestor: . ` � /1 � Name: ���,�� i ,' �=, - ' � � � F���� ���`� ' � `' � �� -- � Company(if applicable): � Address: � City: Zip: � � � $ Home Phone: Alternate Phone: ',.;,.� .� , Questions regarding the above noted property: '�`� F.•�--- N �^� i r;� � ,��� i, � r � IL."' �' t"� ! � ` a i —� �, '� - A ' '' / �,I -, , � �-- 1 _�. s. I ' `� � � J� � ' (%._ �� y,� � l �' :/ - -j � ��/,; . - �,,\ � � g���, E��� �.� �Y �,"! �:��'��� �G� ; r �`� ��-� �� c� ���� -�� s F � �-��-���- .���= �.R�ti �� :�:,�� -� � �.- � _.� � ` � ��G����{..�.V..�� � �� 1.� � �.� � " p s �� t �'� f��'� fils€,� ��GL�� G`�°�--L ��'-f�r1 6�L�. 1,� �r�� SS E`',�--��:� f� ��__ v:\chris mattson\request for property information form.doc Last Updated: August 28,2007 �n / ��'l% � - ,- fi, v �. � � - �� - . : '. � � � Planners Notes [date, LM (left message), spoke with, etc.] ���'f���' �� �'��4'n f"`rT=`�`' C f��.�, � ��� p�1`�e�' " � r 5 ,y a v:\chris mattson\request for property information form.doc Last Updated: August 28,2007