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� , PERMIT <br /> C�. � ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway - P.O. Box 66 Permit Number: - - <br /> Crystal Bay, Minnesota 55323� � , .y c::��.. ._ " <br /> (612) 249-4600 Date Issued: - - = -�- -� <br /> =�i'i 1�.. <br /> SITE ADDRESS: <br /> i ts'�;, �. .W ...__�i�I�:� 'i:7, <br /> .��: <br /> : . ,_ - - ;{7i-.- <br /> DESCRIPTION: <br /> .:. .. . - ,: - <br /> i.��:!=`. . =��-'�`!_. ..��.?__. . <br /> i..)±}}N 3' ?='�='1'�E'i 1 L• �j%��;a.� ,�{-i4�iS�� ��!'`!?���ii��.��'4~'. <br /> REMARKS: <br /> FEE SUMMARY: <br /> �_.:..:, � .�:r::: �:.:-.= x €���� - � - - <br /> _. ,_. _. .._. _ . _ _ .. ,. _... . __--------_ ;_= <br /> =�1.,E1'C C�i�.l''�� __._._._..._ ¢..,�..:a:al �;�tT..::i�. `�+r° �::��!'��.3;..� <br /> .`,r i�(��s T.i��.C;1, ^'�-.�'v:,'� . .!:_1 <br /> CONTRACTOR: - :�;�:r:i i i�,jS�,_ -- OWNER: <br /> .'�i�t:.a �4`yi��I�i��i t s.`?�.1: 1���=_ . ��'%i L ; # � .� . ..'.. . �'.�.;.•!ii'�E'1;� <br /> -�-,i=' t:-��i` =;; �:.r;�; � i :..-�i =:�-:i i�';!�'s T � f'i�; <br /> �1 : .. , P-,� �'�.i�%-� . _ _ __ �`.� <br /> _,.�»"! ``i-'%L i t'.,I:.,' x`?i`s '_ ��_�,•'� �`�=�y�'��.i;—� `�.f.-i _ ,.. �. _. <br /> ..... r. . .. : , .�,,... }: r,. - ..�_,_ _ .. <br /> i I��.�. � '"7 t^i;—,i— if:'� _ -,.��i�°i �'f �..:E ��—� r`��-w<� �rii—'ti:_IF.; — .� <br /> �'!� ._._... ._ W �, .�._. _ ._r... Y �'l�. ._��. °__ . �. } _ _•W . , � . .. _. <br /> =p^ {.1'°.. '� E t„° ,>��i`y;'`!```: f_I 3:_� : si -'4j f-� j.:.,.sy.� j'_ ._-'t,y{T 7i.! ��� 4 ry <br /> _ t�. i .t__.�: .i.. . s L...._ E �.. �?�.1._ t4 _ � _. _. _ ._. .�_:-� .__.. : :_ . . . .,_ .. . . ... <br /> ,..i .,_� }v , .�.y i� '�'i\i' ���^{- .�_ {�, � .6�..._,"t � �1 � L i�Y j ''[' <br /> L =«'i . "..� 3 ...' f .�. �i...•'� �'!. .� '—� i e;- �,�.�y: i'�3 d, .�._ :�� � i-� _. .. . .. . .. . .. . _ � .'J;. _ . ..,«„ ... . ! � . I <br /> r <br /> _ . F. _. . . . . J <br /> �`�/����'�(/ ' v / (�' <br /> �� <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />