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PERMIT <br /> � �GITY OF ORONO <br /> PERMIT TYPE: <br /> 2750 Kelley Parkway - P.O. Box 66 =;�,,;j.:._i i�,;°vi-; <br /> Crystal Bay, Minnesota 55323 Permit Number: ; ;,;;:.;;{: <br /> (612) 249-4600 Date Issued: _ <br /> SITE ADDRESS: <br /> i �... � �'i'(d`-`4{ Z:`'sL`e�.•f_!�„�t ['�,1�', <br /> :i <br /> .._. <br /> ._. ,.. , . : _,; .: ' ' ' <br /> . . : -� : . . �' <br /> :...• :`u k . _.. :'�.....': _ <br /> _ '�'3. <br /> DESCRIPTION: <br /> . ..__. ,_'�_.�t" , »... ._.... .`F».'�..E t .. . ._ <br /> ��_i� � ��.� �.�,,� �+;;�s,n•tL�r. '�''�~: _ -±--t"1!_{.,lf?;.`i°'I_'1�'=�_ <br /> ��:J3 ��� _ `•"1 .;;'�_�i:� .:r-�f:, - '-i`il_�vF-i i `.. `,I-1�_��_it-._- <br /> ;j•_ <br /> S :�3}"?',:�.t'3.,r(i;'�.�.�.»��� � �{��.-...+ %�.�i, <br /> ... .::f��_?�'"«: _ _ii lE'_ �vd.�. }^i3� �� , �',�,±. __�i1..f:1 ; .!.f"'L.. <br /> REMARKS: <br /> FEE SUMMARY: <br /> . , .___'=:�i..s��� : . . _. _ _ <br /> �::_.�_� -�.-_ �1�� . __ <br /> .L.�E�i..!IC. __. ._.+...._......_ _ i'.:t�s..=:_ <br /> 3,e-,1% .i� " _ �1�:'-�.f , ivl:_1 <br /> CONTRACTOR: OWNER: -� - _ _. . �.. -. �-� <br /> - _... _ _ -. <br /> , . . . .._. ._ ..�i�'�I . 'E��'� . <br /> _ . �;i_I _. .;-j:.!�`i�•_i:'_S�,' ' . ._. <br /> �yf�- �'st�i:�i ;l{�s .. _ -'� <br /> I�"l� �!�L h' .._ �'..s ii�i'��"t^ ' { Si 4 `' f:- �""....."•.! . _ S •� � ��a:^t�' � S ¢-'!= � .�.• �?�r <br /> _ a <br /> _ .._ �..._ . _ � <br /> . 4 <br /> . t -_ . <br /> ;=;�'��;'��' �r ..', F�t �i'�:='_' _ _. . . .._. �,�..�,' . . �t� i t l�'r'!-'__ . i �'' ,. � . . <br /> ^ "4 .� _ : -' ` �.i � � ;.. � - _�„_i� ~{1 ;��_M _..l�.a.L..�4. �� � <br /> ..` �� . • . :. i � <br /> 4,1'-�3 3!3 = _ .-i _ ���p , ,_ .. .� �. •� S,_ �. F _ . <br /> , . �"t • �� � � <br /> L _..._.. ,:. _. , . ,.. . .. _ _.... . . . -. - <br /> � � ���� <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />