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PERMIT <br /> G'��Y OF ORONO PERMIT TYPE: <br /> � 2750 Kelley Parkway- P.O. Box 66 _ ,;�"i.,.;::3��w�_; <br /> Crystal Bay, Minnesota 55323 Permit Number: _ <br /> Date Issued: �"'t �`"''�`��- <br /> (612)473-7357 �'�::�#`��`'=�:� <br /> SITE ADDRESS: <br /> :,i.ui�.:� �. ._, ._�.l':`V�. ff`. <br /> .��t� <br /> 7 3 i e i i ��^'..�;..i _..ta:1_'�L <br /> . . � . ��4 . . _ . ...._ "' ' " _ <br /> DESCRIPTION: <br /> ���'�t�i `�::�°—,�{�:=,��:�i;:t_�,��€� <br /> j=�1 J� i t�S�'�:� -�a��(iF�,�. t 1'C`t� :_�I"—f^}C.;s(��'�'s;1�1',�_f�fG� <br /> �il;t S i11 j�;�' #,i;�l„Fi��:, I�i�'F �.�C�`I',:—:I—i�— <br /> t_W�'���t1(•3 {_:��E;:]?� '�_+� �i!_f . �°�'.��j,�.t����1=��_ <br /> REMARKS: <br /> FEE SUMMARY: <br /> l i:�':' � 'tY � y C.t+if <br /> r...�l_jF•�t j �f_��3 , .:.�j •r. ��� <br /> �• �� �� <br /> �����}=� s}�s .�,�: � <br /> � . <br /> :��i.�:':�..E_:i'�.-sr� w•1 '�'� <br /> --- ------���.7 .s.�.,�. <br /> E [�F�...,_ �r�F� 2�J�i_ , ��I I <br /> CONTRACTOR: OWNER: — �:�::�_; 3:;�,,�-,i. — <br /> :�-is_�s����� :�:t=�i�i:;=�� <br /> �;:ie=.::i '���-;t i�Fi i�.rF' ''i��' <br /> :ii=ss��►jv��� ;1;� .�;�;_�°�+�. <br /> �E!� i""'_ ir j,:_3 <br /> T�#� {'��€?.��r-.'w�I��t��:i:� #–i��E�=`v' t,�.�i=... i�� { ��.�r:I v w ��,.,�*a i�s�! �'ii=���...,_ i��._ r.�..:�¢_ I=';�.�='�';�;;}�:�;'�`t`3 �``�_ <br /> : � , . <br /> '=`�-t '��I ''� "f �`i #�s F-=: S t 1#i i=:} ' •}#!i-t t' 's ,� _a�:�� — t ���t,��t _.e—}t st '_' t,j'• r E ',;% :�'��' <br /> .—��'___ _; _E�� �.vt: ��. .E_..= T"_ ��_ . .�._�. �_. ..�. t'. '_. . ;�' . . . , <br /> . .. _,. _� �:_ r . ..._.... _ _ . . _ <br /> #��'t`�_(I;f�_; �_.!-t'�i t F S-3!;f�}��` ,�;L�f :_������ 1_} .�`a.�� �;,.��,6_.t(-�4 4=;;.?i t._�'�El{� t F_1 t,'- "�' j�i S E {"'#"4��.-. . � . <br /> L � <br /> �,�,"�L � <br /> � APPUCANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />