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PERMIT <br /> '� G11'Y �F ORONO PERMIT TYPE: _ <br /> 2750 Kelley Parkway- P.O. Box 66 _�-!,-�;`!.�`u�- <br /> Permit Number: :_�,:�.;_,�_; <br /> Crystal Bay, Minnesota 55323 - <br /> (6�2)473-7357 Date Issued: : <br /> SITE ADDRESS: <br /> ,..... . _ _i„Fi,,;;i^i. .��1 rr t�_ ...., . <br /> �Ti <br /> _ .., , . .: ..• ;•�. ���..�-; ,...: � <br /> - � ' . . i:i i'-.':';; <br /> DESCRIPTION: <br /> .... ._... .. ... _. _..,. <br /> �••.�3. �.�:s 1':l'� �`s:�1'i€'+.i.'F. ?�V i�'';� ``�i�i�_ i`c-ii'�.l L_:�"i4h��:i1 <br /> — - r,. <br /> _:I s l �i:7 :"��=a ;;c::':1'•}:: �; , __ . .__-.I i_3 i-S'y�:�_, <br /> t:'��;� �_�_�'!i}-`+�;'s t�� +.�+."_•_• <br /> _.s't:`�•;� , �.i:_;_ �,_R t—� '�"��;�-,; �i:; <br /> �4': . <br /> L._I�i= i�-,s • , '"'�.`'y <br /> 't � ��4i1 <br /> _. _:�?:_,_._ _ �ii i.':: :.�_�1 ... i"F�;r.� ���°n, i-i{.. . <br /> REMARKS: <br /> _ _ _ . _ . .. _ - - <br /> � <br /> ,. � ._. . :.; <br /> . < < ._ . �� _., ,: ,�. .: ; , <br /> , ; . , :_ <br /> FEE SUMMARY: <br /> � � <br /> �w- -- �.�_ �_ , , _ <br /> .._.�..-._ . .�.... �'.ti.. t .[t.yt I , .v«... <br /> 1-:� r�.i 7 _ G:� �._°:{ _ <br /> .�l.rS?'��1'7 C';1�° .. . ..__ .. . �„�::: <br /> —�;(. � �;'—i`'yl! i7tt <br /> ...�=t�_ .. E`-{Y- <br /> �'PV�i�_� .. ..' ''_ <br /> f ;����_r't_ . .._: .�.._..._...._ — .. � M�.L <br /> CONTRACTOR: _ : � , .�, __ - , �:: OWNER: <br /> , . . ;_., ; . e.. -..._ <br /> __ .: ; _...__�.�, _;� ; -.��°°F,::�:= - --- _ _ '__. . _. .._ r :._._ � . <br /> . .. , :, � _j <br /> ....___.. _... .�� ;.b',::�`�s'{-i ; rZ ".._'•:'i.:`• . . - _.__.._ ��3��•�i-� 1 �i <br /> ��:-.�` ^,"S�,-•: j�.�;,: i_:._�_i i i.�i• �'F�y'T - r�;r.) �:E:-_<<»t i <br /> . W _ . _. g <br /> < , <br /> ' �a.. L Y� . .t„' "�g� „t��� '� '� 4. �r �P� <br /> ' �;.�`�_'�-. �?}�"r. _-�: ^:��t .� _w a � a * . f�����_ ,,:�`,iy F',ii� _ _ ��-'_.. .Fq :<'. .. _� . ,.,. .. . o-t _ d !:'_ <br /> .,.1....... { �\4w �' l 3 L». z... �.�F ' r ..' <br /> �,���Z��_ . ,��;.:; ��.. �..... "�'�� ��'� ;��� ���r�'��; ���i =i�+��;�" 3- { �� : '�� ..�. ! I�'' .aE� <br /> ., _ _ - <br /> �..d�i',I i�`a�_' _ . .' :� . . .�J�.,,�'�� �a "� ?:,�t��� �� ��������l����.�.��'._f� r i�! ' `_ S_�.��. �"i�" `` 4_ . .��` ,. . �=."i_ <br /> L � <br /> -- C��.�-� �..�'.� <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />