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,,� _ _ . _ <br /> PERMIT <br /> ` y,..'v _ �'c �F O�iONO PERMIT TYPE: <br /> �750 Kelley Parkway- P.O. Box 66 ���=!��_�-���`��' <br /> ' Crystdl Bay, Minnesota 55323 Permit Number: t it i;r��.q. <br /> (612) �3-7357 Date Issued: t:7 i ff�''�?'��, <br /> SITE ADDRESS: <br /> 1.�;==? :_;�-l�w�hEl_It�i� �h <br /> _jE� <br /> F`. I .t�. . 1 �-1. 17—s:��—�'=;—t:xt���,t:i <br /> DESCRIPTION: <br /> �?�:�L�T�T�:}t�l::: <br /> E���a. l 3�i 3-��a �'�rr,7 i t� -f y!��. '=:�'—i�lsDl�E�1r:1���� <br /> E,�..ai l��i���i W�_�r•�:: Ty�� i€�►C�ITIi:�N <br /> t��,�: ;ir c��t��b7-��_5 �—:; <br /> C:�'�t�s#•��+ar:t•i���t-i TYF'�= �1�'�I^ <br /> t�:�n�t�5 �:a,F��� �=��. rai...T . �:�:w;I C��;�#�T I s�f_ <br /> REMARKS: <br /> :=;��'Rh�l"i� fi'Ei;M���°�; ��i,t_!s F�E�i �"i���; ���.�,�,, �i�c�:�-i; ����� I F;�=:T t�t��"I�W�[�f �.� :=,��!� ���'�::7�T C:��L <br /> FEE SUMMARY: <br /> V�i�.�}ATI+���! ��.�;i�, i�iai; <br /> ��►s� ���, 'S1 : ���i .�'� <br /> F'1�t�-�'�;N•�j.�w �`�J:_:� . w'1 <br /> '.=;l..it'�''t•�tt^��?= ---- —�-bti.��-5,,,,3.i�) <br /> r��,t.�l FY� ^���, �.7�, . �.r�� <br /> CONTRACTOR: OWNER: — G�F���s i�rt�f�_. — <br /> 4JAhl�..J� �'`i_E� <br /> i 1(.:_�:� :`:�"��_��+�L.�r�� ����,` <br /> E�l�i i�l i ����� �'����`�� <br /> ,�.;�:�-�_�7'�:=; <br /> T�l� ;.�t�i1�'�;'_�I i�±���} N��:���1' ��t:�t.4�°��T`�; F`?��,°;•;�°��°;��.��i,; �i��+ �tra��::�= �"�-i;_ Fz:.=:���._ i.�fi='i�+��,���?�t��`�_ <br /> "•�''��{..��� ��.r.�..� tw���7 �7�.��1'F�h:_� �l..l i):„I ±��i.._� ��.li i!'��. i s`��^i _��E��,�-i,'�{:� f.:��1�EF—'�..�t��:?��_:t" }:a?� � t� i�•'s=�.�_ _ _f..�, i��� <br /> � ����'t��,���j�,i i,�f�.i.!�1''II"'➢���r.rL•�� �1�i.J �«'�3"7�t._ �.��i- �'1 1�,ti4'�IL•'���� t� P�,':�f i i.._4..�.�.51��i F... ...�S.Ji. i'-i�_`];i j i i lr_�Ir.�;f � �- . � <br /> L <br /> ��G G�������� . � <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ,.-!'�j � <br />