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PERMIT <br /> CITv �F ORONO PERMIT TYPE: -. i <br /> 2�G h�lle Parkwa P.O. Box 66 `":�����'��?�v'� <br /> y Y- i_si;=:�;t_'s, <br /> Crystal Bay, Minnesota 55323 Permit Number: <br /> (612)473-7357 Date Issued: - - � <br /> SITE ADDRESS: <br /> �;.},�M;� :.=i�'� f=��'r (`s <br /> .�j�E <br /> �.=� i I•.t ° _''i .._'� — � —— _ <br /> � . _. . . . . . _ _ _ ' "�. �. .. .. _ _ .. <br /> DESCRIPTION: <br /> _ , _r.. :__ _ <br /> �...�._..�.:—:: :,_ : ; _..: <br /> ._.. . .._ _ . . . _... ?1-.'_"�»f�` . <br /> _�_j j 'i E:.':1-:_ . _. if'`s 1�' t �*, %�.+' �,j-.._ '{5��,,:';-���k�y._._.� <br /> ��, r �.v.Y� <br /> ;-�1_!i W i 3_%j=_ s.��e t�1�:; t j C,:F,s_ r -ti�I_3._.� <br /> �.:N��'j%,e�'� t.F�FF„jh+ r1;_inl j^i1_� , (.�`T_;:1�'!��ti�f i•1�?_ <br /> REMARKS: <br /> FEE SUMMARY: _ _ <br /> . , ._.. _ . _ r . _ e,�;c_: <br /> =;_i..�;� �-�� `�.��:_ , �= <br /> _,i;i}'�I`i.=t,i'���r•= v....._._._...._. � F'�..} <br /> W� i if.,�{3 v ��F�,, wt`r '¢ � <br /> CONTRACTOR: 01lI�NEEi: � {`��t'- ''-` '`: � <br /> .. , ;—::,.; _�� <br /> , , ..,.... , ,:._: <br /> _ . .. _. . _. .. . _ ��.� _._. . <br /> _ :. -, r�,:��-! �='3�,}:= �� <br /> .,�,� <br /> ... .... ;•,x'� _ _ — — �- <br /> � .•i F .s....� .:'? ..� .�..����S't�� i i�������� ��iji[T:�'� # .W� ( �...i:�,i-... ... ?, ..��,� ' ',..{ 3 ..�.a t..� .,i�i... .�.�::..�"�{...� . �. .lE..:�S'. ,_.. .wSM1? . . <br /> �:�����I�'��:� A�1� ���E�.� Ttw� �tl ��t �,�_�r.. . �t, m °�.T�: . �.;��i���,_i� �_ .� ,'� . .�.? �:��'� CtF' <br /> %�(���t�#F� r:3hC�I�#�I+,lC�`= �i�� ��ATE }�F �'�I�'��i�::;�'T�t; �W�=}��_�.�.it��;i _s_��Sw .�.;��_s ._. .w��•��'t��'��, <br /> _ <br /> L� � � � � � � � <br /> �- � <br /> APPLICANT/PE EE SIGNATURE ISSUED BY:SIGNATURE <br />