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PERMIT <br /> �e-�� oF oRorvo <br /> Iley Parkway- P.O. Box 66 PERMIT TYPE: � �� <br /> �;t i"'s _�"'i T t• -� <br /> �. Permit Number: i���;�;_,� <br /> � ' Bdy, Minnesota 55323 <br /> ;�,�; �+73-7357 Date Issued: i�;�;i i�;��.�t <br /> SIT� aDDRESS: <br /> ',_i_l j,r� L;;-1�=1?JYk�:iE_i�+ ��',�� <br /> .�� <br /> �`. _ .�k. , 1 :`—� 1 7—;;':�—:_;1 —i 3:it i� <br /> DESCRIPTION: <br /> ��:�C�I,..T���t� <br /> E,�.�i 1}�i}��; �`:�t�r��i t• T v�=; '_:�_--t�t��i h i��•�i�i:��.L <br /> Ftw�; 1;�#i����; �s�����:: Tvc,}�= �;C;��T;�Ti�+hd <br /> t#�=:�: �:►�c+.���:���c y �;—:� <br /> l.i_,t��S�L.}'3,�iw t.j,i_i�! i F 1'"i i=: 4�!`�} <br /> ���z�i?��� LR—i�= <br /> f.F+��=%�� t.f�33�i+ ..�f_,i� Ps-'�L. � . �C���?Lf���� �F1i_ <br /> REMARKS: <br /> ����F'���tTE �'�.Rti T�1-`_� I=t�ih° F'L�;t�, ��Ft:�-i .s as�i� '_=Ti=jT� �LEt:��I{��i_ F'�t�'t•�I T RY�;;t;I�`�E3 <br /> FEE SUMMARY: <br /> '•.�€�1L1 In{'i_t�'.i ��`�i, (_it i[1 <br /> � <br /> ��=��-,gs? �t�r� �'i:=„'�.'j , , � <br /> r`l�i-� F��ri �cy �;=''- , ::�: <br /> ���a;'�F't�l'°�+=' ---�.___ �—$'�.,i�_.�:e? <br /> ���F i•,?� �?:� ��r�`,—_'� . �'� <br /> CONTRACTOR: OWNER: — �;���:�i a��:y-�t. — <br /> ��:.+_;�I f:F�:.Y i�I��H��'� <br /> ;�i r��� ';;};�}!�'�!i,�t�(E_€[,7 h;�i <br /> t�►�:{_r�j� r�ra ��_�=i i <br /> �f';,—i ;,'�Jt=i <br /> 1 li, i W =�� t "• �r';' ;'�y� � i _,i ' 3 ' ' t.9 '" �i.�: : ' °' ' ;;.';:>�'_�i'_:_ <br /> ��`i}�. :s�i,_?'t_�1 tzl��#s i"!``�f==+�7 �.��;t:i_' ��`�� �'!.'i=,�' �`r�`���_'sl'J S 3 i , �={}�..�'_ #trt� #'.a._t��,.._ i i';f;i1_���° :�l�` I-_ <br /> :W;�'F t:?�T��s �.:�33�i �i�;:���'�: �:i f;iY1 �;E L 4:'•��3`'���. �i� ;;#pi i t�:l" €�;��€��''=.�f���:�,;;�:�. !�i i i;-; i':�_:._ . ��`t' i�i� <br /> 1��#I�'1}t_! I t�''-:�'����tf4�_�s�`;� t�-�i���.i ���i-1 i� ;_tt' �'[�!'•3�k;�`�_�_��fi ►.r=`t_'�i._#..;���i� ���_k��'� !?r.fstt%1'`.z�..�.!-? : 1 '� . � <br /> � <br /> , G��(� G���n� /� �. <br /> APPLICANT/P TEE SI ATURE ISSUED BY:SIGNATURE <br />