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PEIZMIT <br /> CITY OF ORONO PERMIT TYPE: <br /> 2750 Keiley Parkway • P.O. Box 815 � ' + Permit Number: '=������ t' �� ��'�' <br /> Orono, Minnesota 55356-0815 �?il:��:;i�= <br /> (612) 473-7357 Date Issued: i:°�i:��.:'��:�; <br /> SITE ADDRESS: <br /> :,�.ci �*;��3=i�TH �r�t} Gi=i <br /> ���;1r <br /> �, T �.,j �-,;.:_1 i:�—``=— —"s}=�-yr•. <br /> DESCRIPTION: <br /> E•�Et� '_�Y'_�1��€�7 <br /> °_,��►�1� �� 3,��t.�,r �'�i�r��; t. �'y�,� �}�s;i ==;E�`TIi�: °=:Y'=�TE <br /> -;�c���;= L, ta:���•}w7- W�_�rT; i y��� F�E:��ICrE�#L:E <br /> REMARKS: <br /> FEE SUMMARY: � <br /> �i:i 1!=' f 1.:�' '#�.!_��_� . '.�`_� <br /> =�l�it�Ct'�cti'3� __---- $_a•t� <br /> #i�{•=i� �'t_'�' �jt.}t_}. •`.�t� <br /> CONTRACTOR: — ��.���, i{�i�t. — OWNER: <br /> H�,'T�L'= �7�C:�?'�l€�,�It�i�; �_�?�:��5'=1 i—!i����i:�;�,,�fi� �.��j� <br /> F:T � E=i��:{ "��:a�.� 1���.� i�J�`=;T=�:€�iC� ah <br /> �i�_����;±f��;i���_:� t�€=;� �:�,_=;�,:_:, t�i�_it ihJ[i �i�u ��:=;�;e�. <br /> �.?_���.�. _ . .,_ ."'=:�': �.���.'.L.�'���:`—"=�;_.�� <br /> :� __ .. _.. .__. . . __ _ _ _ _. <br /> �� r--,�.r��:r �r•• r; - � ,r- <br /> I�--?� l_)C'��..ii� —��t;" F-!1 �-;i— :r t-,� E-;� i.s1: I 'i'' �'.— —� t,I_! � �1�t r !:='r=, --.`'t-i��: `r'�-.'E f;:r�'°!=��' f: <br /> . . , r,. . <br /> . •, . <br /> �m v_._ •_ _. __I`d__ - -—1�..__. . _. _:.. _._ _�, r�`�.�•.. _�•_. . . . _. t.�:=•._ .. ' . . _. _.. . . ._. . .. ._ _. <br /> ,..�. -� .,�•- •-. --- - - • - - <br /> ;...-. . . : <br /> �,;�`����.7� i f L} h?;:i�! (��:i!�'i.�.`'•�_ ': !_° ':_'._ i-?'_....... ?�:'s%_:!-j!':-. z��? _���i���� �_��!'�1-'i._(.;••'��.,��•�_ �,�'C�,..i S-i`._.__ _� 1 ir i 1�= <br /> �.>`� {...�i{�_�l'�f_z �_=R��1 i4!-s!4...�:�. f•;i��.) � . . : ? :._ _.. : ! . . :�`.- -'t-� � t`-? G+�.j 2{L}3.t4�7 i.•{.!L.�c.". t�"t`.$+;E _.C��.�:..'�._.w`�!_ �_ . I <br /> J <br /> _ ��1�J2_6t� �. <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />