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PERMIT <br /> C:rfiY"�� JRONO PERMIT TYPE: <br /> , 2750 Kelley Parkway- P.O. Box 66 �1`�_�!��:;'.L t,��-�L <br /> Crystal Bay, Minnesota 55323 Permit Number: ;_,�.��,`;_;i_, <br /> (612)473-7357 Date Issued: t};M�f;�^r-t•,�:; <br /> SITE ADDRESS: <br /> �,=�ii(_t �1_4�;`.�`._, i—`T �';} <br /> (�.�-i <br /> F-' I :'� . t_i'_3—i � ,7._':'�—�`�`—t ti lt}f` <br /> DESCRIPTION: <br /> C1�;'�:tMttv��� r 7 F:��'I �;�:r <br /> .i !'13'+`t''�_i-i'•_:` <br /> REMARKS: <br /> FEE SUMMARY: <br /> ;�'f;L..�_i�:<I j��;€s� �i�.: �.t:_i <br /> �-:;�—,:, c,_.� =(�s :�,t'� - <br /> �.�•_.__ . _. • - - � - - <br /> -;�;�t��'�:_;}�� _______ �'�._.u.'•.e' <br /> E����'�.;�j, i=�' � � . =t`_l <br /> CONTRACTOR: _ ;�,�,�:� ��_;�t. - OWNER: <br /> Lt'—.'.1�'°_;s�ih,� ;1:�}'�:il�'�,ir''� t;::t r:i f : �,'_' -:�i,!�'°,iY 4,' :�: F::,:i;-'#—`�i i 1�-:�,i <br /> �I_�E :t F_�:����� ��� (.�� :�:L�1 t 1 — ��{:+t �� I .".'� — <br /> `.J�t.f_; �.,[{_t�:* j`'�f1; �',i-'_ _ _ 4�?r�`(�:._. .�f'. .'�i'J `'L _ =� <br /> 'I.Sj�__,t =-I.'p 4»}�- s. .0 s: ,�� —L�_'L <br /> :- : :. .�.:_ s:•.,': i�:} ' <br /> . . ...�-.. [- -{� - <br /> -• . <br /> �����'�� �j�(k`C' )"�i i'�i'` 1 '' ,��i_i{'�� F i_ i°{r^.. .� !t! . .....i� (�i�"'���� i4.L TriF•:i�v � ! <br /> S i`'� L 7Fv�f�'�','��,y�}4�f�ti .. ._,.. . 'f• a`.�''L_"". . ... .._ . ._ _. 4. '�9: 'r ._ . -_. .—. . _ _ <br /> -��c{:rw j;vC� �(vi_:. ��.i�;��_; _i �;i s t-i;_:,_ �,s,�i��°;�:. i�,� �;.i�s=�;':.'� _;�i r�,`'�_�=�nV;l;_ i_i?•i�-; =il_'s i•( j% ' _"' <br /> `-;, . ___ -t- _ <br /> � i_t�,{_tt.}_� '.;_::;: E (.({-t{`�i_�_- i�su!) �- i--;�S- 1_tF- �'!i f:. S%'��,�»� i .'-; t-,!1�:_3, ��.i� r.i�i�.i:� 1-,L, J 7 1-:i r°_�. x°_ . � <br /> f� ` <br /> APPLICANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE � <br />