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PERMIT <br /> t CITY OF ORONO PERMIT TYPE: FLt;MB 1 Nom, <br /> 2750 Kelley Parkway - P.O. Box 815Permit Number: t:-74, <br /> Orono, Minnesota 55356-0815 f <br /> (612) 473-7357 Date Issued: <br /> SITE ADDRESS: C; N,-,:-: 41;-1 Cii <br /> DESCRIPTION: <br /> fi'• <br /> }P'ermit T �p_ WATER r1 k [`il <br /> P 1,1..4mbi iE_ We i-k I ype `.= : I-3ET.ii:E <br /> .-1 ! f L'f V7t VlTL' <br /> ° 111to}f'A}?} S <br /> y114✓'j VVVV }� <br /> V.l. 4L7T 'j'j.VV <br /> ......- L711ski?1 ?+ <br /> yL.Lt`i'V Vvvv Tt <br /> REMARKS: <br /> !ili7lt,A 4 <br /> lL'U <br /> M..!Vt•l .; LVVy AV.L f yV•7i.. <br /> - <br /> FEE SUMMARY: V Lt 44T T::., • -;,_;;_ <br /> Base Fee i:3i,i <br /> TrAL-a-1 Fee <br /> =F?i _'.µ RAI `R;) Vs Ni tl-f.S"T. 7 El =i �..?E°:G !_r31�i <br /> MI-0 W1,I <br /> D MN <br /> .•:i��s:,,�t'�._,y x.'v. e + , ,�,_1';;.'�'••' . .__..i. .._, _. „.:.fi';''._. _. _. 1.[.ii':� f... �`fiE-�K._._ . . ..... . ._:.!!=<L.. i± is �"a_. �..... ._..I� <br /> , - :r;'i-{- i`!3'; E ±;.,�• 7 t.i _ "" _7 i' i'•ii•;•� �_: i-'- i, i; <br /> -: r .. r r- <br /> ..,. f" l.�Y�5'. �. <br /> L � <br /> 'tu <br /> APPLIC T,PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />