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PERMIT <br /> -s . OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 `:�x.��v <br /> Crystal Bay, Minnesota 55323 Permit Number: �;i;;_:i�,+ 3 <br /> (612)473-7357 Date Issued: � ����;;�,;>>:��:, <br /> SITE ADDRESS: <br /> _ _ � .. °������;=��_:.�_T���: i�=�� <br /> �_�=:�� <br /> ;..w - -_...i 's:�—-�=,—j i —��'.�:t���.;:�. <br /> DESCRIPTION: <br /> -.�.: -:t.�=:=;-.r..: <br /> =;}":�:�.._..�_+i_.;:4 =��'�i�.�:�:� !;��� <br /> _ =•.i i 1'i`�a'�i:i' r�1`�� {��'3�"`I Ij�:(-i;?Y, <br /> ���+�i!3 31S,T i_i 1'�:_ + �?i�.•�{�'. R�.L l�!�1! <br /> REMARKS: <br /> �=�r=�;.:T i�,�_ ;��_�,:' �� — ��� 1`�'�� . ,��=�=� �°�����;E i`r-lt-�f�� �. i�i°;i='i�i�t�i=+°Y E,t 1�=�I NE'=;°�; �;T tat�l°=� �1ia�Y ;��r <br /> ,. � <br /> .,._... _. _. <br /> T�-�'.-•,k?t-:y �';.;.:� ;,;r::; -=::: )r-:= - r.�1-� E-i_1� : 1 = - ;�,;t- , =-;E.it�i ;_i ''., ':'{,- :r, �11F� J I_!R( I_lF� F tiy- <br /> _. . _...__. ..... . _._ ._. .. . ���' . ��i.. . .. . . _. _. . . _. _ . . '�T . . °�::t���` <br /> �.�:i:: i,•`•.='.i'; N`�1f�i��td�Li�J..t 'ar't'i 1���i''•�.3�E�'ti 1'� L�`':z':F <br /> FEE SUMMARY: <br /> f".r�i"-•F'' . ......_ i� it~! 'f�i <br /> � -y� - .��.........�..._..._ :a•:..�.....:z..a: <br /> �vtyi i.%i� f�F+ ��'�i k , ��l_i <br /> CONTRACTOR: OWNER: -- �'s:��; 3�:��}:�:: — <br /> �„�i,_IMli t �(sif j T�_;T r,': <br /> _�'. _ �'.1. �'��. <br /> _. _. _. �. `•_�i�i.3�=iEE i 1'yF �)fi <br /> ;"E`c.;�lrif;�; I'�i�f I��Cs:'��.�L^� <br /> � ^�'(�J } (��t,•'( �{L j'? ,�S y";l ;:};»" - - ."=", ¢ p _ T } — { r•L_ `(' ._ _ - .,. .._.._ � t,::'yi•�-r <br /> i 1�i� ��f����Tl��S�j�t1L.�V i�F��.!.�C� i � ._,_i;S!°%.�•.r� �~... I �.W!'�f�� t,s��._�y i.�l� # �� �°I�€.•� I MS" �-�i`.��-{;_ ! i'ft�-I-z.'.v`r .._i!�.�ti..��� <br /> ' ' 'F-�:p�^�y--7�) ' ��) " .,��� ... " _��: x �•: - � :� � - .. .. z _ � <br /> .-<�'_._. J.f_C.L. ��._ di�. .�t_._. !_�.,� i�..t = 't,..t., �;�,�� i:`':�', _.�*� -.}:^t�t. � �,.i_i �E.»W�'-�f��...!`. .. ... . . . . ;S_,.__ .. _. . ?' �..+ <br /> � ._ _ _ .._ _ . .. .. <br /> ���`._� � ^� `.f'!.���L��`•=+ �i���! ����. . t ' __� �_�C :ak:'==t_i'1_�-j i-;3��1_i._���`+��: ?_?�{i���= f'1���'. ° ? '- <br /> � __ . . . .. . � <br /> � <br /> i�(/ � �Ll�� �� <br /> APPLICANT/PERMITEE SI ATURE ISSUED BY:SIGNATURE <br />