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1 Y !",,-:.'"r''' �ti' , <br /> • a � r s <br /> � ,; `�*tla a 2/12/01) ;, <br /> r- fie s', r <br /> CITX O..'.� d �"�' ', .(e •. � �.iI• .�i� l• I .S ,f,..!,,,,,;-,...,,i.,.--, <br /> P'f �n y^';«r �` - ; x��, ', a fir• .s +�"`-»•.o-t�, r! ',. <br /> Bog 66 27 jrIE 'Y ��WT�' 1 4�A`4 'Ar,' ,..,07.9.7-,"'. • �,„, .r t <br /> c:' Crystal Ba l I • .'£ ! °}°,, ktBr i.,..,,,,,A(.‘a, + :^ � <br /> -4 4 t i ro y r '-, <br /> ,u Y 3'; . , .>'y tt y- 'q c7n 'f" <br /> -'-';','N,!.'4'....''!404:•::.:--?'".7":4% '''''10'4C1,' <br /> �` ca. �' ' :;n ,t 4 a . f^z'Y :.vr+'�Sn x 3'ir 4 tkg, x <br /> GENERAL O' • O�1 ; • '• r u <br /> 1 •, You'm a 1. o u liz•4 s person et;the i •ffices;> 2 a <br /> aYPP3' � t ,; <br /> 2 §� h� Mailed in p• „to-,--b { C ist. •:,.a,.•ge and aidlwg ees1iownbelow P.erml�cards will be sent by <br /> return mail the am, • ''-'' ii ••. �,ce1 ed ' �, �, ��,A'',-,,,. "(t 'zt`' � <br /> M1k a4�iai tt 4 orc k :'': iq i''''.:(,4i;;,:', r x' r ° <br /> 3 Permits are i 0 t i 1�i 1a� • tpaXt1 r �?, �' s *t R "per° <br /> 4 Work mustn• • •ti ii yeTti• d ;a al. 'le oil ob sit *,+ �} ' , .,4,4,,,,t,..;-1;,,, <br /> _ <br /> • 5 • Utility conn Fa =4� ,,� �� .. -• 1 eL `• k• fir` r ;i r , ', � z <br /> 6 4t4,44,„„-Contact the 4 '..,,,+,6)1.`;‘,.,' e •:1'1",-•,,r0-,,I •k' :•*!1:. ., 7 `. 1 stu• • oca'ons DO NOT <br /> ( C V1 �Y ,.h'•,i l�'�^ -,r-&.;:i it i'. �'r"1�r'± • .11.„,-,1,7r#'-‘4:-* *► ' i '• itho Xpress approval of the Public <br /> •••!'1'43'71:5-_ r"Wo'rks`Dep: ••�, f C •' -c1; x �o it . pp oval 4 ' ,- " UAB y� <br /> 7..-,,,.-11;•!,..,',All wor mus,7•yt,t,�,••••• •yyI�y�� • •• ((�-��,.�,"(�(.4, ode reau e eats, <br /> Y .A..<Y••-1,,, + - �NrL•b*+. ,�',--..,,,, ,e,,,;,;,„. , 11-i-,!-•,-,,''7,4:-:;,;‘ <br /> � s u' <br /> 8 „,,----r-or •b• • t r,t • 952�yJ 7lrp 600 # 3 <br /> '^t,,7 r E -b 7 t„4 .. ',. ."`6 . •val3 f '"y.:,,'rf�FJJY., ! <br /> Occupancy j+ iti + • ' i ez ial '� <br /> Owner'•s l ame: :tom _ ' ,ne�N� I. , <br /> Mailing Addy ress: a. - yq <br /> ka�� S Y•- Ysa,"•- -pr-t'' <br /> R°yw -” i 'f 'r.'Y I' 1 f <br /> Contractors e„ 'boos umbe ! :, v <br /> u •c <br /> Mailing Address• � City: ..° �� r gyp, <br /> }� <4 ,..g.... r y, ^+pr�r•gst�7 F+ �+rf,.r ff x a. <br /> PERMIT%, , i E F t 4 J Srs�� , : :'' Yr'#,'• §" �f '1/4 <br /> 4'i at':" <br /> r4 ` .. ! � r��rLt`"��v t�'@:q � ' k5'+'�' t s <br /> Mumc� aleweir <br /> P I . 1 1 � i • fs +S A 1 F i! aG� wm+; r <br /> A.-.5.0-21-5.4,11 4:4-e¢s e ,4,,,,o!, ,-I., •. ,.,1,1,,,, I -t s e� xr , .f fl s ,t'cast iron , <br /> " gAC C1 8 a a,a•YS . ,„,, 9 iy.,+lyiv,,.poi{tl`••ilt• .`.. , e ' ' .. •...-ns---- uIliess prepaid <br /> If not prep d i �• ,,Y• �; ,•. ",4' i C 'l -4 d �� b" <br /> �' Y Y - '.,_,...„2,41-!,..7' <br /> '+ �`; S "17 Kttt '°a� R" kA1 h(l,�wpy �:u,o ��� '7 wF+ <br /> Mumcipa� ate ,� � �,�`,�taTI`� > �� <br /> 1i <br /> ,,O.,;'``.-;4;1'Z''"''ATE ��, � �.� ��� '�°���a,{� ..5 � 1-t C��t''1"x�;i�i. fax�4� :� �� h <br /> r me e ''. 'i - rl• i ) k 1.11,V/. 4,•►-r. . � � , n °. '.•: en ' i,t 49.46}00)°upon <br /> completion0 me e � ilia; , ! ' ; .- F <br /> �, <br /> REQUIRED •• .. • um •.C .•011l drain le d'an• septic tanks• 7S <br /> „a'y2S -RL'+"C CI,�•..,,,,r 1)`1'7.4 ' . D r:.,• 'r't. '.,A,') • .r -4 4k, b x � , �'- 7 ' <br /> �= y, _sr a V142::,'-'-',;:,'""4.� is �tE,��!+ ,,`,+ 4 w F}� ,�� �'Cr'� `�,� ys 5 �t <br /> PE' 'FE '" �� ►t ,..,-„',',,,;;.:,-,':,,i,4,...;'.44-,. <br /> " h AL . � = g <br /> s ,Ve f „.p.,+ vs•+,N', Y r x .':44:,:; '.';:, '',-,*:',''. <br /> Q d'.' ''a �i n, i,•Yi". r- }.S ' 4k r}1FQ�i+lYyr. :W <br /> • y r <br /> 1 ° r Subto n .0. • 6 � !,f s 0:,,,,,',.‘,, ��e <br /> .a a r rt> <br /> 2 t Stat c ar 4 <br /> �=.04-„ chid •_,.o r0,„rt - ... ,.�q. • 0 --'' <br /> , <br /> 3. . i:Po a i . :.;�°an•i_i ',1�it , ti h'i Y . . <br /> � 4 <br /> l�undersl e. •e C• • • t • iii } °� • '.?..17.4444. ,,.6.1, <br /> ar y�r #A ti Y NN <br /> sign_ `-'rao i i._`- � . •• • s ri .� f ' "rrlilt, agrees to do <br /> all woz 's•� _, e ` �° 'iil�< it=.;. :. i,..= �/.. - t�•' • 4 o the State of <br /> Mlnneso , � • 1� ---"i . i1,.-till'!•'� zi~ t _. ., I!!�,`: . . . . - .. .� . e . •d cot 'ect . <br /> E' ' � to <br /> 5 ,{..r, h -t i,•-• <br /> ,;� ''i *. ' <br /> • <br /> Si,''''..-'..---__i_ .--%ature&App l G „c;;-',..;?..s ate ' 409/0' <br /> f_ ,,r, <br /> fir` + 5r ` i t �� X� � - s�Uz .Fy t+,� "�' -x? <br /> .r„.,, +w. a+ +'.'�'” 5 'r 4.; '.'',:`"4V-,"'"9"I'' <br /> 'ykr y a ° i.y "K;s + k. 'i" t i` <br />