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PERMIT <br /> CIT��F ORONO PERMIT TYPE: — <br /> 2���0 Kelley Parkway- P.O. Box 66 -_ - �� <br /> Crystal Bay, Minnesota 55323 Permit Number: -. . _ -�-" <br /> (612)473-7357 Date Issued: =r;��`�r�'j� <br /> SITE ADDRESS: <br /> _..`. . _ `C�-,;=4;-_ . -.L, <br /> .i:' <br /> � �" � :,�-' :;`- �-�.':'-+�%:�$'_. s <br /> . _ _ 1 _ _._ <br /> DESCRIPTION: <br /> , }`.,L_�"._.i_�f" <br /> C:;�.,.• .}, - C�i:"�'s..7{.�!?"1i_i 1�_�L.�`� <br /> =;,�; I=�i�{�� ,� ._� `��fi �'F�— r, [� <br /> � �•��� 2 I _i i��i �?k�i 1'F:, � �'i..:p:s 7'1�������,,,:C�-• <br /> �_:'������� �.3_if�'s�a -��,•i?1 f'"�t.._ } . �.���'.�.C.rt�it'{ � i?'��... <br /> T <br /> REMARKS: <br /> FEE SUMMARY: <br /> . :.__ _r�s � _ . . . - _ . — _ — <br /> �:�..�.� �=����. , . _ . . L�= <br /> �j.. {�'� jp� <br /> ,��.r{)~?.! �i.:l}�'._.3it„ �.�...�.���...� <br /> . itj{_,_ t-_::�:.:: �. '�.�-:'��..!�3 <br /> ti <br /> i <br /> CONTRACTOR,: � . r ` ' � ` �OWNER:: _ — : ; <br /> - ., ;,. . : <br /> ;�.�— , , ; , _ ,., . . . , , , ....:_ _ � . ._. .�;� <br /> _ .. . , _ _ ,. . _ .. __ <br /> :. � : >..: � � <br /> _ ci t_r-i��...._. .4_E .__ _�__tt�fi: .. . . _ t�"lt'-�ii�L'ti( ;_<< <br /> ,i�'' "�''` �i-•� �._.i. _. . �.,,._. , _+'�4 ::�,-�C�r:. <br /> #:;�:-��f,::j.,}�(�{.3 i �fu -�'��`-;i ;_'. .%-,t.`y'-' i t - - - _ _ <br /> ;�t,r_ .::' > ._. .=�... ._ .._'._� :..�.L'.� �. ,., ..°..�_._ i "' �. _.''.°�... . _ _ _.t' . _ ._. �� ._. }t . . ._ ;. M. .a,.�`K��" <br /> . _ ''f <br /> ;� , .. �.,.., -, _ _ ', _ <br /> ^, '� .:: . � <br /> � T�' s.=�.;�._: .� �'w f'� x ..,.�... .. t s_F �..'�_� .�� ��_�"+�!'=. �.s _ ' " 2 ; I.... i�''� �.j�' , <br /> -,r' ; '� i a -, _ .. . _ � .'"'3�._} _ <br /> :�.ii"'�iF i�� { ` 3 au.. ��� �..'.��5"f1� L�1� ._. .. ....� ». 1 .'� . _ ....... ._. ... ��LrL�. . ._..'1; �t4!� _.'? � `� � . . <br /> ' -I .,� y .�.! � t_:.. k..f• .�. <br /> L � .. _ „_ . . . _ J <br /> � <br /> APPUC �PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />