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PE�RMIT ; <br /> -' C�Y OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 �.. : <br /> Crystal Bay, Minnesota 55323 Permit Number: .Y <br /> s. �� ,�. . <br /> (612) 473-7357 <br /> Date Issued: �N?;_;:;�-}:;;,_�`.. <br /> SITE ADDRESS: <br /> . 1.- -. -- - - - <br /> . . .... . ., : <br /> . .��._• . •- "} .,'- ' - <br /> . . . . .i�n !:�� i r !S3•- ' <br /> ��'_;. <br /> DESCRIPTION: <br /> '��. FI�Tt���:`_ <br /> F'I�.�rr,l_�in�� �`errE�it• i"Y1=�� �- ._:. :�...�;,.;�=.`:; <br /> {-'�!.?►i���ltl�� lJr�f��:: �y��� �;F_T�fi_1`��, :- ; _ <br /> _. ,.. .._..,:..� <br /> :1 �iATEFi C:L��'�;�T �. l..t��A i+�Ei�Y i �:r���;��"������ <br /> .� '•_�;-Es_E�E.rr't i F::,i�'i:F#E�� ��:I�`�k-. 1 C�I���I''�_i`•:�}-:s€.. <br /> �-• �_ , •; .,� -,. <br /> �. ��:�f'1�'r�•=H��t ._ '•=����f�:E i��#��.•_� �. FL.�_��_iI=`. :?r�'�•;�+'�•':.� <br /> 1 :=;EWEF� E_TEC:Ti��' 1 L�tlirl�i�,Y T�iA Y 1 Wr'�T�R �E�T��: <br /> 1 WATEI� '.�i_i�=T�IEFi 1 WFT �,Hi; � �?h1�EF I i��D , <br /> REMARKS: <br /> FEE SUMMARY: <br /> ��#-+l_tl{��"I�_�I`d `.�f I},i)tit3 <br /> E���� ��e �i:'.� . i�i� <br /> :�:����c�-������= ��;i��7 <br /> �"�«�t.��. ��?� -------��,:�:�:�. i��� <br /> CONTRACTOR: — H��1 i c�.r�+. — OWNER: <br /> �'LYlyii:�il j}-! i�'!tltiE�It�f� �'�:r:�cd_:�7 +�i-?�-�6��F ����i�� <br /> �,��:ti�� W I r�lta�T#�::�1 1�._�7 '=�H��iti��i t�I� ��R <br /> E�R+=++=���=:LYi`�I F'AFi���: �t� ���:���� +=�F�����+:� t�f�! ��:��'�►1 <br /> i:r,l�.�:3 .��,:_:=—s�.:��,7 ��.7=;—,��'�3:; <br /> TI-�E. E_1i�C�EF��v��C�h�lEC� t��`.��:E;'� �;r�;�ii�°=,"i''=; F'��-;tid:w�'=:�;�!!`,i �"t�i �;:€}��:E: :�=E. �°�'nf.. T:�j;'�t�t!;�r:t�i�;t��"°=; <br /> :=;�`��:I�"i�� t�tr�� ��:��`i=E:_� i�� �s�� �iLl.. �k����i��:: I��� ���::��:1" t:�;�3i•11='i_I�ri��3r:� �,{�.�r ��r +.�:i�i Y ==��= <br /> �� Li'� ��i�f1%t���t�lC:E°=: �it�Cz =;�;.��L s�E� #��j������-;t_i`i�; �::i,;T�_i i���:; t:E�:�.��= �i�e�Y�_3 r�.x=�:�`i�:���i��; <br /> � � �`� - � J <br /> , _�� �_ <br /> � APPLI /PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />