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PERMIT <br /> «CITE( OF ORONO PERMIT TYPE: <br /> ,2750 Kelley Parkway • P.O. Box 815QU I LCA I NG <br /> Permit Number: <br /> Orono, Minnesota 55356-0815 Date Issued: 00582 <br /> t (61 is) 473-7357 12/1 9:r� <br /> SITE ADDRESS: <br /> 3655 TCjG0 RD <br /> CH <br /> DESCRIPTION: <br /> ADD I s ION <br /> Building i,r,tit• T: IN'=*T-� D!Fii�i�t€ilaF!_ <br /> Bui ldiitq Wo-r- :: Type ADDITT ON <br /> Co—nist ruc t.i on Type VN <br /> c,t 1i1.1=a LR-1C <br /> ,.IT Y OF ?0jV17 <br /> Fig fnl�r€4i , &.. <br /> Al <br /> rl•Jf il 0,111,1111110 AV <br /> .i <br /> Lel L7y-!t <br /> REMARKS: i'' iti`Ai ;; T7 <br /> �!Y L-1 '€ •� <br /> V1 LtiA!t 1 jV+ lL <br /> __ _ _ itttLVVV1I <br /> :- V , •} <br /> ,E PE Rm I I RE t)I RED FOR F LE C€R I CAL i.STATE� . {:d L-:' <br /> L15 FL g�g+ <br /> FEE SUMMARY: _ REIC 1;=T- iiir T 1 VVi <br /> �a�(�I_t�F� € diit�l si!:? �f_ii_] �..:%C==i:t ,-::;a i�riqq 7r.t,rr <br /> - } sit tuVV i'Vvi }Cvi +Vu•1.81' <br /> f`Z ii <br /> in- <br /> _ <br /> e Fee $198. 00 <br /> Plah Review S128. 7i_) <br /> St-Ai-charge .7-15 <br /> Total Fee -$:3::5 . "3 C3 <br /> CONTRACTOR: - Applicant - OWNER: <br /> NET i33_;=.; JEFFREY 14721960 . EHIDIV H I WITNESSES <br /> '4 7 } FAIRVIEW LA :--lelss TOGO R <br /> 1-10t jND VIN S5364 ORCIINO NN 55:39 1 <br /> r. <br /> : �lw �S• Owkb <br /> ('� �4 f REQ JESt' I 8141 �n00 TD/ ,M+�y#(yf1 THE *,RtAL � i MENTS <br /> SI 0 �Pti st q c i S.O TI�, !l N � .I � , <br /> DtORFIr+1�E� �� � �� N � �` R. ���LI��,�t�; dDI�E R �.� t��E�T <br /> APP PERMITEE SIGNATURE ISSUED BY:SIGNATURE "r4' <br />