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*_ PERMIT <br /> -ty OF ORONO PERMIT TYPE: _ <br /> 2750 Kelley Parkway- P.O. Box 66 Permit Number: =' ` '` '� WA I ``' <br /> Crystal Bay, Minnesota 55323 <br /> (612) 47"2-7357 Date Issued: <br /> SITE ADDRESS: <br /> CH <br /> DESCRIPTION: <br /> _ wei'' Ll!c.65'V T yC_.. Ri_' i E EIN!C <br /> REMARKS: <br /> FEE SUMMARY: <br /> Fee- <br /> -=jrs ie1 _ossa <br /> CONTRACTOR: — rel=P 1 i C•R V1 r• — OWNER: _ _ _ _ (� <br /> t .{;F_i4 {.i - - } '.-ty3' . . �'� i F:£._ t l!t'„{ 'cN S �S ::I-�' - — (3/�R� (v�lllhN <br /> _. r _ _ . . _. _. .=.. I _ ', <br /> tkA - -T ;3.p -- -rEs is <br /> 11 6S <br /> i i• <br /> THE t NDERSIGNED HEREBY REQUE`:T, M'F'R ISSION TO MAKE TIS 'EAS ,,MFR VF.t E lT'S. <br /> SPECIFIED AND 'AGREES, •1.O 00 ALL ��R I Int STRICT COMPLIANCE ,W ITTN AI.L CITY t <br /> L t��,�"N t ORDINANCES AND STATE t�F M I E�:��T�i �.t J l i~D I l�� C�+GE <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />