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PERMIT <br /> C17Y C,� ORONO PERMIT TYPE: _ _ <br /> 275� 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 /> __ _ _ .. _ _ ._ ._,. . .=:�5 <br /> � �:;: <br /> -: � }.: . -. . } .: _..: - - <br /> DESCRIPTION: <br /> ,_.T. r,�.: + -::�.�- - <br /> �" Eiiij,._�i: C".r.':",:"::;i";-•.: ' <br />� _ .— =. . : .y_.. :...._. ...... ._ _ : :-v .',." _ '_�_ <br /> . • �..?Y'il!; i�t�+?'Ct:; �.{:�:_�: '.-�F- -t`��i^:; -Y*Ei+g l;._, <br /> � -�+�--•• � '�;���i'r:; . . � -- F'e?'�` .jt:'L... . '�:�i_'_.:'.�. <br /> _ _ t_�� � ;�-`_.. . �`.'—.- <br /> _ _.i j"J'.. -_;t'. ' " _. i( . , �">-i '�`y ''.. :_». ».,::._ <br /> 1.�2 . . U1 ...�!'L.'t�T:1 <br /> — --r <br /> vl".'�•� L�I'. .-L�L � <br /> _...1�`:i"�}'L'L'�V Y4 <br /> 1.7i.'� .... ,s iJl' <br /> � _ '..:;.. �. � <br /> .___:�i i:��%i:`vv n <br /> `::i - - <br /> i`.!'. i~i:r �.i%�%�a�i::� <br /> ........._.,�i:.'ii i:;,%i; �^ <br /> '�{: <br /> _.. �i(i Ai%i� <br /> ,.-.�L1.ii i L .� .. :�.. <br /> � L t :F <br /> � ....�t.:..... . . ..^iT1i! 1 L'}: <br /> ^i.Y_.. .-u�t' L_.•yi -,i'_ . _ . _,. <br /> REMARKS: <br /> �� , t :_ - __-, - - - - i - - � — - - <br /> ,_, : _. ., ._ _ i'�.i��s'•.%?`�._._. . �_};� i1�-1 �4 .-�ti� '"° 3f ��`+Yt � _� ;r ' � � <br /> _,_ ... . <br /> �_ < �' , ::�: :�+ t ir <br /> .;�. ':_ . :... '. 4 ..:'f '.,; ' " _' ' _ .... .. .. . .......� . . ... .... ._ . _ '[ . __ ..._. . ._ . <br /> x . . . . . ... e . • � . � <br /> r . �i , L� .t . I � � . . <br /> FEE SUMMARY: <br /> �' : cs'�'�;� :s�.i - _,;:: . - <br /> . .___. . _ _.. -. - - , _ :i_: <br /> - _.._._ . _ - . �i i . .- . <br /> i'_ �:.". i�:'1 -. .. -. ..__._. . :3�_, <br /> -. _.. _. ..=i``_ .. +t�:i� ("i;", <br /> . _ �_._ i' ._...: y rf_ _ . _ � <br /> CS�NTRACTOR::_ _., .._._. . :� _'.: :_ . �- - - , :;�: . OWNER: <br /> ;. : : . . .�. _ <br /> ;"...- : � - A�� :._e�� e,i _ � ' —f—' — <br /> . . . .-.� : '� �': <br /> »;: .. : <br /> .. . . _�._-- � .�.�: . _. .___.._. .,.. -:... :.-. <br /> s � - ;- <br /> . • r <br /> . � : : . . ...$ <br /> . _ � . . ._. .... . �._ . ....... _. _ . ... .�,. _. _ ......_•���5�� <br /> _:�:j.:l�' _. .. ',4 _ <br /> '�} - . .. . _ _ _ . ._ . . _ `' iht _ _ ._ . _ <br /> .:,"!r_. ..��t�::.t�...��.e-«'.4L�_..N,':.„ . ..»..i.i_...�. � � _..�_i..-�...;.1��•.+ �������°4���_. :.�_ �� � ��_..i ��$'•:G F�� ��1"'!� �1t�!���..�'fl�.S-lL..i1� ��« <br /> :,��,�,:r�F I�.� �#���:� ���h'��'; `�'�� �.��r� �i�....�.. ����°t�:. I�� T: . . ._ .�� �r�t���='l..�#�1'��� i���`H'.�i�.�. �:�"�`f t��� <br /> � ' �`� ��� ,��"� €�€ � � �, r : � .:�i z _ :�; , ;: �w��= "�xi`�€t�;�:=;�_€�°�' �:��It..�IC�-��' �:s_��� ��'�����E:��:t��':�.`. <br /> _��i.,�._. �..�,�.��_ - �.. � . �'° �` � <br /> . / . / <br /> (� ./" G�-�/ �.,,� �.�� <br /> APPLICANT/PERMITEE SIGNATURE v ISSUED BY:SIGNATURE <br />