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PEI�MIT <br /> CITY OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway • P.O. Box 815 Permit Number: ��t���"�����' <br /> q)dH�ii7_�� <br /> Orono, Minnesota 55356-0815 Date Issued: {_��,�eB�����:; <br /> (612) 473-7357 <br /> SITE ADDRESS: � <br /> �.�_'•_t 1 (�t�'+,�il I�' .�.T <br /> �:N <br /> F°. I .i�. : 1 t�—i��—�_;—_:�.—i�tg�.�� <br /> DESCRIPTION: <br /> 11�:��� C�E�C:�:: <br /> ��ui 1��ii��� F'��'�fi3.'�• Tyt='e :-��-t�I�L��'�`Ei�ti�QEL <br /> E:�.�f ?��i i��� 4�1���'E:: TyF�e C'E��E�:: <br /> i JE:�: I ic r�a���nc� '_;:_ �—:: <br /> C:��ri�t.r�ac�•i�_��i Ty��� �t�l <br /> �.�T; �F C�,��',�' <br /> �I��''�i�°�� C�,�FIt� <br /> ��s31��:�� � <br /> t?.� G��' �1.�J <br /> d's�[�Sist'r�[� � <br /> REMARKS: ��� CLr� :?�.,,4� <br /> . 1::�������i.;'�t� �} [� � <br /> V� ��fY a i70 <br /> �.1�=� <br /> FEE SUMMARY: �����':i,��Lt� � <br /> Vf�L�1�TT��C� �1 , 7�c� :.� GE:' .:�.�- <br /> �,'�CA' T �`t� {�� ,.�..���.(� <br /> C+�'T3� F�'� °�`.+45 .�.��.� . 1��4L.ilG+f��1�a19fYj'l�• 11JZgi <br /> l��LC4�0 ��'�/'��� �i�,{F�� �i�.t"F14Li'i0� �VVl f`►�P� �S}���b}.��{ <br /> ��{.e��'CFi�t��� ������� �.�.sa��1 L��laC'�a��7 <br /> �J <br /> T���ztl ��� ��t�;,+�i:_� <br /> CONTRACTOR: ��1�1��'i' AF'�'��r����'_: <br /> i;�_:i� �1FrE:�=�Ft _T <br /> �e���r.��o r�r� �������=� <br /> �a�,—��7; <br /> �=s�= <br /> f�L��.. �.�1'�i.l��i:we�������S.f f f�����•� ��5,}�t t��.Y.��t..e i—�L.f 11sT����a�'S l..�S�3 ��J 1-iE�f=.� T�-iE �°E�L 11-i���`,d�I�I�iti���f <br /> �=��'�C:��I�L� �P�� ����E�:';: `►'�� ��� �,LL. 4���+���: I t�f :::�'�I g�T �:�w��i�'L I�f�+l�.-€ �1 T i E-I �LL �:�T�` �gF <br /> iii=�'i 1�'�9r1 ;P�i�:°G I!`�lt��l�:�'':• a�I��l� :;=T�eTE �;��= t1 I t�t��.';;�i?s=� E��1+�Li�I�4� ���i�� �:��:�k.}I�:E[��t�lT'�:. <br /> L.-- - - - - - - - - � <br /> U <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />