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PERMIT <br /> ;�ITI�OF ORONO PERMIT TYPE: - - - - - <br /> 2750 Kelley Parkway- P.O. Box 66 = =-`�= `'-._.`�' `�'�� - �=`� <br /> Crystal Bay, Minnesota 55323 Permit Number: -'�;=�;��:�;_:;�:� <br /> (612)�473-7357 Date Issued: _ =,;:`���.�=:: <br /> SITE ADDRESS: <br /> .. , :,., ; - - <br /> �. . :,: , .:..�, = :.....- <br /> ,.. .,. <br /> , . , _,_. _, ; _..;� <br /> :;, . . <br /> . :. . . �.,,:::�. _ y : . . -...•�_.� .::. <br /> DESCRIPTION: <br /> '-.:__�.t�::_E (:: S:}:?-.r.,i �W F:":�,:�....[.. ..� . _ „ . .. :�.;.'r� .�.��� j T _ ...=S'���t�..� <br /> .� ._.. .. .._. f T�-� <br /> _.""'.. . _.. .. _{i_4.":i ,L•i7�,i�SV f:, F �'r.��`: !'�.�.��.0�?�!�a�•_-�._ <br /> REMARKS: <br /> FEE SUMMARY: <br /> _.�.�.•�.-:: . = - — -'4-' • -'-' <br /> :��_.{;-•!::�`<<-�s��-� : _—____ �. —ti <br /> _ 3. _ "' ' <br /> $ 3_E I_ri�. P"F"y_� V�%�� � . �S_i <br /> cQr�T�ac�a�: _ -. :. -. _ ow��� <br /> . ,. .; _, ,- :-�;•� - <br /> .__._ _ .. ...�i';'z . __. ._ _._. . _ _ ._ .+i�';E'�.L_��. ._. ._ .�,�,i�SY <br /> I'i::s� :'i' ' _ :— ..: ::, tfii,S s C. = <br /> -•. :s;.� .. ,....��": : <br /> . ,,;- <br /> , :._�._:::;�,,: st-; _,:,,�. :: :_:_. ; ; : i\23'y'•. . �_F's`ti`;.?",i . �tK _. _. _ . _. <br /> . :i�__ ... . _ .. . ._ _._ . . . _. _ _ :. <br /> ;e..t� E„€�����'•f�x���� �";��`�� ` ` i_�..,��_f:.. . . ,:': . �_.t:.i i „ '--�T t.»�� ��_� '�r��}'��.:_ �. ._ ._ _ . ... i...t�s«3 � i =� <br /> '� .::��i��•��3 C.� �"�#�1[,+i ��.����,� �. '�.� «. ... � ' F` �- .� ���� ��°����.!�.� �I�t'3���3.��:���t_..... ".. ,. ., s�.. . .�...�.��. ',.-��id _. <br /> � <br /> �'' �.s.-.. <br /> - e ., , �.z..3 . '-. _. <br /> l.��i;i,»�k�i_1� i_;�`€1������t��•. � , _ . .. ��"(i`r ���r_ t':5 t'„r�� �.�__ � .`, _, . <br /> i S �".�.� .r,.... v s-� � _z: r <br /> � _ � <br /> ✓; <br /> APPLICANT/P RMITEE SIGNATURE ISSUED BY:SIGNATURE <br />