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- PERMIT <br /> -� <br /> � �ITY OF ORONO PERMIT TYPE: <br /> 1335 Brown Rd. South • P.O. Box 66 ���f�:{-�;�rti��:�,� <br /> Permit Number: ,_�i}����__ <br /> Crystal Bay, Minnesota 55323 Date issued: �^i� �.i��_ry�, <br /> (612) 473-7357 <br /> SITE ADDRESS: <br /> 1 i i i :=;h'i I TN AS�'E <br /> _�E� <br /> � � t, i 3�:�'—i j i—��:-�-•:'�—�.}i i•.:fr. <br /> DESCRIPTION: <br /> � �J1� t s� r-- r,n-r_,t <br /> 1 i�EidT I{..�iT I i�{ i t�t��::c i �-:•-� � 3 <br /> ' C) �:T �` ���: �WLY �e t�::E.: ,:-�.r_�;r.: _ , j , .�.M,,. <br /> i (} i_i {_4 �.A !C F�!Ly i F.l• P ti.°�_�::F�-. <br /> } i .' �iC Ctrsi�t <br /> .. i p. . , , Lr1 ! I L1 L�1SV1�� <br /> ' � i � 1dX ' �� �,�� ,, C'T'3j�eit"C fCCr r'`C <br /> '° � + � � �"� � „�:�,��'� ���.. �`„ q 7 ! 1,f+��JF�'/ftL•L �1 ! j4�1. �{ <br /> �k a� 1�� ��"� '� - �����'a l r31+.1�V1f�%VY f► <br /> a� � ` '� ��"��:/ �j { /� <br /> � 'f �� �. r r o �I ��.i���'� �' �%1 VLt'£ r7�}a i!V <br /> � M t:j�. ,� A <br /> � '� �r >�� ��, � �+��i�G� � ��"��� lc.::�:.:.�'=.��J�Vv �i <br /> ,�a�ig°� �m� ��"�h9�d r4�H r �`�'z k� a: ' /S ! �J i <br /> , � ��r�. , q � �•� ,�E,� .,1,. �� <br /> „ , �`c � k �� � t#��'�i3r}fj�i:i <br /> y�� , a�� iv�t v <br /> � <br /> � �` �y�"Y a r �'''l d i•� VjL1! �f iJj{% <br /> � q d '^ � � . i 4 L•/�LLrt�• �L �}r.�V�I} <br /> +'rr �,�., NNip�� fi,'�`s a t '�" , .. <br /> ! � . 4/ J�' , �- :' 3��f�'C�fJ��.t�.l-5��j�' �r f �� <br /> p,��.ti � .',p � ,„� ,� �� '� � _ !�L LL 1! ! !I!f'11-i1� 1�V <br /> �� -��..._ }{ :s z�t� r(�:r:t t,/�)t riri•,�� <br /> . .. .. . Rt�'V�LL• 4V1:1 t1V1 11T•T! <br /> {t i i?i fC+': <br /> � L'lf r'.1I/t <br /> REMARKS: <br /> FEE SUMMARY: <br /> :=:.u+.y� ��� �,==t:) .i"jti i�fAi� s.Cd __________��:_..�s? <br /> :-;:.:t'ch�i^��� _---_____ _��.�'� T�_��-1I F�� �''=�� •;�`'-3 <br />' �:�.����.;,t.n 1 �:='� . �`' <br /> CONTRACTOR: OWNER: <br /> ,._._ <br /> — �F°F�lic��, . _ <br /> C�hEi;1�:3Nl_ !*i;=�:�-ii��+1 I C:Ai_ Z t�s: :��'�:;f',;`i 1:1 F I'.�:}�:: .T I i 1 <br /> s:i�K :�ifr' �. 1i=� :��MI�� it'�1E� �- <br /> t1�� 5�,-_7';:� {�.;t=;Y',���T:=� t1t}1 .,�::'_�i <br /> ,-i°;i�.'s: ._.�-'��--- - - � <br /> `=E:•=� <br /> - - - - - . j�-'�"t}- _. _ <br /> , -,-� :i- ; ,>>�:�:::-"•':-�=.�,-r- ,y._ i_z isy;is- - . � � � t `''; ��� � =�-iC�.i Ti" . E;.�t'-�L_ 1�F{-� ._ fi F .._�`a I �� <br /> .-f: •r� _ r ,- r;. � �;;:i i s <br /> I IC ir C,_ E �_ J F _;"it__G �t` tt _s= : _ . ='.. ti _ <br /> _ _ �. .._.:. . . , _ . _ . . . . _ � _ . . . _.f <br /> � ' ` � - �-. i i_� i - . . t �t� �S�.4� ...'. t .L._�' _ .�i'it"�L.�'e t-3i`J:.�- �,+.�� 1 i�- <br /> .,: ._.. �;�_ },r �,�.!! F r�y�= r,:!T.LC.�_ . .. _� ,-iL_i_ _ :�_ _ _�_ .. ,-:c- <*- <br /> g... .-. .. � .- r.�.t:::-. �r. :�.•r' " _ — - .y t#t ,i , a`� ..:: t �i.�!i.li!''•.`:S ii:_i�a �`-,.. <br /> E . . - :��r,ii'i _":� � '. ; � �.. .i t 1 „ _°!_; 1 ii•� � _+.tl_.._ .�i.. <br /> .� i .` i l'`. <br /> � ..1 3� �'� � <br /> E_�;,,t,t�;:; _,'-.1�i �_;,.=-W:�•.� -�ii,_ .:=ir� _. _,� t' .x� . _ �_ _ _ , <br /> � <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />