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PERMIT � <br /> �IT1G AF ORONO PERMIT TYPE: <br />' �50 Kelley Parkway- P.O. Box 66 �'i����;��;���_i.���Fi_ <br /> Crystal Bay, Minnesota 55323 Permit Number: ;_;} � ��� <br /> (612) 473-7357 Date Issued: �;; ;:i�:,{�:�,�� <br /> SITE ADDRESS: <br /> y_ i .�. _s_��;�=�;�;+�ls=s�iia i t�° <br /> �_}� <br /> �-` . _ . t� , , ::�::i—j, i.: __ 'i—ii:;]'i�' <br /> DESCRIPTION: <br /> �=r�:��'������ <br /> �. �" 1�� � ._.. 't� i 1 ;'}4i�..,� --;�`_ �';:-ji�•.?'.v I It�-�i i i i iS� <br /> .�`'._H�:` � .:� `�(%-i. � .i-?i_ �� <br /> ;yii:�tf;t=;;_ �;f i1�.��;t�1 <br /> REMARKS: <br /> FEE SUMMARY: <br /> .'z ii._�t;� ��i��;}'} �a', _. .. . I <br /> y�.�•:�:= f=�� �::_` . �_ <br /> «�€J i'r�'�.�I's�{t=s �...___._�._.. �,5..��'..��'. <br /> 1��`E1'.=:i I-f=w '.�:-�? `:i <br /> CONTRACTOR: -- �;�:E_:�. i:w:_:.;:__ -- OWNER: <br /> � �:.;s :'�'�'i : • (•�4„: T e- e-`i ;i: :�r` - - i,; - - - i�:i.iE;€� <br /> _.... ._ _.--- - �. 7: . . .._ . __ _ . . _ _ _ _. __. _.. .. ....__. .=�� <br /> =�'.'�.c:..� _`�t? �� 1 5 .,:.b 4 .;.�. ,�_1�s�?;�.�f:_3;t�_,f !}���-t`, <br /> I_ii=;�'�.,�.i1=':{ � j�t,� %E:,�.:'�<< i_,`.S,,,i��{i_9 ;:�Y = �'r�:�' <br /> { : `� ;''� f—-`�' '- ,� i`t_!3 <br /> .���..�. . _ � .L` ;�;_':._ <br /> .. � , <br /> ......:. .,... �qs, . � _ 1[_ . �:" si;.���t .L �s_� :.: 3" :7! r` `r �.�. s� . _..f '3 a.. <br /> ��-i— c_=av..��.!~���IRw����2 {—ir�...��.� , ; �i�'x;�tl___ ._. ��F i�_ w�_��. _�.� �'��� F1�t�,�: '���__ "`�"�__ . , f�—f-.s_.•�__. .�:.. . ' <br /> , �:�=f�t�:i�=�:=s� ����fW! ',,]r- `=; �?wf £��I� i��E._ �i;_�E�.f�. Y"� _ :.i i��_:� �.��i'�`'i._� n.! _ �'= s['�, i-?#:.:�... . F?'' <br /> ._..__ `' f' _ ; : _ <br /> t,�;';°.:;i�!_; !. . �.'T� . . `. �.:=; r•.�`u ' _ .�s-; %i� �f 1�,rs,jF,.=tw3 i¢� �"t��t i_�'���C:: c 'r�_, �-. f��_ i�_:i 1�,,�� <br /> �� . " ' � � <br /> � .> <br /> .. 6 �_..... �� <br /> APP IC T�PERMITEE SIGNATURE ISSUED BY:SIGNATURE � <br />