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PERMIT <br /> CITY OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway - P.O. Box 66Permit Number: Z�T N i:- <br /> _L'z 1— <br /> Crystal Bay, Minnesota 55323 Date Issued: OT 1 <br /> (612) 249-4600 1 4' <br /> SITE ADDRESS: <br /> NE <br /> 1 :J <br /> T <br /> DESCRIPTION: <br /> I un-fin 411-1-4 P:­'r;,i Type I X T <br /> -;T <br /> i4J-_ v c-;: <br /> -�rv . <br /> _)W:E FYI, -Qin <br /> . L-p! ri <br /> REMARKS: <br /> FEE SUMMARY: <br /> !M ' I' _Tf <br /> FEE <br /> t' . VU H L j- <br /> c <br /> S37, , <br /> Su! j 4 <br /> CONTRACTOR: <br /> OWNER: <br /> -­7 <br /> 4C, <br /> TfiWiv.ji TNiF R�" <br /> T <br /> THE UNDER S18NED HEREBY R-EQVESTS PER HI-1 ,ION JOMAraTHE 'M�1 &1, <br /> 'N 1)1 F <br /> - IN <br /> SPECIFIEDAND AGREES TO 00`�ALL WORK STRICT COM PL I AA <br /> ORONO ORDINANCES AND STATE, OF-MINNE SUA :iML61,NG cl- t R <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />