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PERMIT <br /> CITY OF 4RON0 PERMIT TYPE: <br /> 2750 Kelley Par�Cway- P.O. Box 66 ����:tn�_���_.��+� <br /> Crystal Bay, Minne� ta 55323 Permit Number: Ff,�� �. �{_, <br /> (612) 473-7�57 � Date Issued: ;^��;,��V;:;�=;:=, <br /> 4 <br /> SITE ADDRESS: <br /> ' � - - - - - <br /> _ _ ��;{:=;?'��s,�i�l;_ii1� `°i.% <br /> - � __ . . . _ . _ . . _ . —�.._—:�.:_` ::i i :_ _ . <br /> DESCRIPTION: <br /> �=t_:�-;��:.�.��E <br /> �. �-t��;� ��yi� _;'�_;E_k��`�: [�;`�•; i , �;_i:i �=s t i� =;.��'� — <br /> rt's;:.�_ ��?� li;�;�=i:._ :;��'-, tiFttc:�. E tix:;I�iE <br /> j.{4`r#�t�i_ �`t_t a�'��l_E1 j,'_';�.{I_i��l'll'= �_��_i�{-'�.�� �+_ ���i�_:�'? <br /> I {��1``;1� _. _ ; t 3t_{[1 <br /> REMARKS: <br /> FEE SUMMARY: <br /> � .,; ;;.2-:..r _ <br /> ���-��__. . . � �.� _ _ -. <br /> i_i.�ti;;_ F�� �:W'` . .. .. <br /> :_:E�1�t �-�,:,���::t:� _______ �• � <br /> CONTRACTOR: �— t����s3. i s_�}�-��. — OWNER: <br /> `;; �, �';�_ ;:i,(i .'�{ ! ti r L ff.'�i;3 E <br /> ;� •,�":sw: �i <br /> . e•�t •.! L• . _:_Y.:�.. <br /> i i ,L 'i..,' �..�'.1� _L ' 'y'i'•�': ... �: <br /> -'iry j.,~ $ I <br /> ;.�-( ,rtG= %', ' t'-:.. . . . . Ls+ . _ - <br /> - - ---. ,�..�E—. � � i�.:t: _._ .�`! i E}i{_i,f'VI_� �"..� _ .. <br /> __ ._.._. 1���!`__.�'s: <br /> � _.. i�, �,y_,...... .r-�i i _..t . i.•. —� �"..�`� L. :3�i'`3 �Sa � ��t� � � . . <br /> � <br /> ��"{� �_����..}��1.we�ir.�!'+��.�..f �'sf-.!—.��'3� �'i�.d�,}�'_+��w� ("��'!�I_ _ _ . . __. » _. <br /> _,_ _�iy i t_1 �1-s�.� � #`:� �?z.. :__ �#. .�i_!�d_.,s�k#;g=�#3 •�: <br /> i• s r--r ,-t .�• . •.,;._._ L�, ..... n— 1 3 � '!':" :_ . . `r � .a' f _ .. . . I <br /> ..������., !E�.� r���€�� ��ar���._ 3"�� �r�_� �►_�,. ��w��.��. ��� .:��-.���� � �w 3��� s�='�I�;�,�� :�f_ i=-� .-_._��_ ._ � ;`�� #���= <br /> i t�i������ ;:}�''C3��ii�t�j�.'� �t��'� ;��T _ �E�- ��:,�F3�_����"r� E ,�'_!i�#�"�� ::���C�� �-,i_,�� t. :`� � <br /> � ,� ' - � <br /> , <br /> �- � �� � -�e � �, <br /> 1 APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />