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PERMIT <br /> CidY"�F ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 - - <br /> Crystal Bay, Minnesota 55323 Permit Number. _''�;.`��T;W�.���~�= <br /> Date Issued: ``= <br /> (612)473-7357 - ;, '�`,�'=;�t: <br /> SITE ADDRESS: <br /> }.��1_Ai.'- :�F��_EE'i;�L_�:`J>> f_!�. <br /> `•._.j"3 <br /> i-' I i`: —i � --�_.;—.:;�—t li 3�,�� <br /> DESCRIPTION: <br /> �°� ��k:f�il:��°_ <br /> `-`�._{��i!'�t 1?=� c`W!'f�i?� �;+�°� i'1,;4}'1�:�'=� <br /> �`],�s;a��~,�r�::: �,�:��r�}:; "�����s ::E'._:j f i��;:t:E_ <br /> ,' �4'`rf i;� _�!_�i����`_'i �?-i+�f=j!fWii�°� �'r r_=�-1��'-�}:�{_� <br /> .: �;e-;i_s���,. ,#� �.. � 4 �_`—�-�4 _��t��•. �, �i 3'=,F�`t_'t'_,f�: <br /> �. �.JF`'ti��,'r�':_.��.�`. �_� _�i��i:i►�:��:.`•_� �L�'�_�tt t.,'t?;��E�l�: <br /> �, �{-;E:;',i�:};;`'� �;:;��'�' 1 :�;!t==;`_��-i#-:i _ �!�-�'�'�:i �-i#-i� fi Ft;' <br /> =i;=.. <br /> s 'h'i-i 1�t1` _,_I. i I`•ai_�'. .L �i�i ��i-�l•:`�- <br /> REMARKS: <br /> FEE SUMMARY: <br /> �.F-,L�.���i�_,�� �:�°� ; ��,z.:: <br /> i��+'�'p.''.]�' ��fO �f.i��_ `� . .��.� <br /> ���C.�f'l:��rt}'+�r.' �i(} �-.i} <br /> _��_�_ �ma��= <br /> !�_�'�.�� �i�-, -�. <br /> �r;� i._ . i:._1 <br /> CONTRACTOR: __ ��:�,; ; ,_,��.�.�. _ OWNER: <br /> . �F ��, i'"f 1�j i7 �,�.f,� : %f1�%. �l.l,f r�L'.��1_i.�i . ._iGiif .. .�. �"��_3�i <br /> �;.}.� .L I"s�};°�i� 't=f-i:�:, �`=' i:�:i_'ii `_��'E�_��i���C;l;� ��Sj=i <br /> 3"jF_`rt.�..,("�_i}"t.i i 'g::��� C�i:�.��...;._ i_i,Y,:i_I(.1S_3 ;s:t ' _ ... . ._ <br /> i,;�:i :.;.� .:i.:�._i�:_;C. <br /> . . .. .. . . . . __, . _ __ . <br /> _ __.._ <br /> �#"��. 't_��`.:_.�"t?'.. �t'^�iii�.�.� }"��}.1"`:'� ��t�ii:!-' 3:-� I~s. �`.�1�.`� w� ��_r.'M {�_i '`,�i;..n". . .-;� ',—i:`�, _ i .'` .... .s:.e s `_ <br /> _... _. �>: � r i ; , �• <br /> � :. .. , .y r <br /> -•—� • � - - - - <br /> _�_ ,_.,� <br /> �•�. , � ;_; � ti� +�;t-ih`i.�:w .'} °n,"� °:,� } ' �'� �; '-`=i. i : S€ i ;.:�i ii.� �;� }"{...a } . 3 T '~t!- <br /> -..: <br /> �:s _._ �� .�.� . ... , .. .__<._... +_. __._ ._ _ ,�__#;:;¢�., `�` `•�<�',t .� _L � . . t-.�.___ _ �..;; <br /> ,": 1 ; ,�...:'. .. . ,. . .,. : - : r .1F � i-; �1 �f?i 1(i ;<iS � #- a�C^ <br /> :' _ : �' t 1 � I <br /> � �. , � ._ .. _ `" _ . . ..�r . _ . J <br /> _ . . ._ _ . . _ . __ _ . -- - - _ _ �__ �._�_ "� <br /> ��y/�� <br /> �� � •�/!� <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY.SIGNATURE <br />