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PERMIT <br /> CITY �F ORONO PERMIT TYPE: <br /> 27„50 Kelley Parkway- P.O. Box 66 �,�;j�,i i�t:i�� <br /> Crystal Bay, Minnesota 55323 Permit Number: _a i i;�.���:i'=� <br /> (612) 473-7357 Date Issued: �?��:-:i,�;�:�:_ <br /> SITE ADDRESS: <br /> � �. r, <br /> ��:`r`_��..s�l_ C��=;��}�. �,i; <br /> .T�� <br /> . � . ��l . . � _—�. � _ -- - - -�t�:i;- <br /> DESCRIPTION: <br /> t:y{-�; �ti�_:_,f i_)�i'.�t.� <br /> �;:�i i t�i t��a �=`,��•�3=F. T y��r '�is:��_ F�=;I•�I�.Y—�;;4�i <br /> ,- <br /> i-�ld1 i�_?111'� �sl���t'.. 4 4'�'�: ii�.'=���.1��'iiF.� <br /> i_�r�t_. _ir r,�t_�:�j,F v� �-- <br /> �t�ti�✓:t.1'ia�=�.�ii��• � ;�'�'F: f:tl�E <br /> __it'11 i!°� �?`t—i�� <br /> t:�:-1 i=_�!=: i:���E�W i t:_ _ — !=:`;�'� . L�=i ia f_:1"� <br /> REMARKS: <br /> `=���`�I=i��TL f`EF`.r1 I T°=� �=��=t='t�I�:��? #=i�i�;° �`'s._r���, C'1�i=�, , ��°E�`i{:�i:�, °_�%�_'�`i t:, L.r��►f�� i i;s�;i��taT I==�il� <br /> `:� `_��r�f i� �'s�€;'i��j,�:�� �t�€�;' �?F�[._f_ ... �i �::j F'T C':�";; <br /> FEE SUMMARY: <br /> `y{�i l s,'s-#, 9 S E.}E� .�a,r.t�.•..l..i , S„J�_I�_t <br /> �—'��s= ��+t-+ �'�� — —'! • -- <br /> �'�:ir� '�'w:i�,�=�i,c' � { � _— — . !1 <br /> '_.I�;'t�';�+1'c�f� �.'t st�� t��.�� <br /> _.__._. sa:ra.s_a.�..t <br /> j��;.:�j, ;��;�' �.�f., .0�, � . '.-'W <br /> CONTRACTOR: — ��v:��I ��.���;{. — _:� . L I t: . OWNER: <br /> _�t��-ii{1_�`•_� h'.1�.�i-E�i t�.,' yi_: `=��=;��t�>`t f �.;��_ t;;.t 3�-:.�� � � � -p:.�i� <br /> �� 3. _ i t+_ fi '� I 4 <br /> �,.�`�11� ��:'i=:�v�;ti�l!"tf} (-:�' 1F� [:;i°4`'���'�-�� t::;:F��t;: �i�i <br /> �Cts���� t=`�'.�I`�`.�� filtv �`':��� i�i;=il f�vf_ r�ia ��:;���� <br /> :,t'_�j'�',7 `-;��;:t_.C.i3L�fi '=,��, 1 —(1: •';. <br /> ���i`_. �_!�Vl ie`''i`�;�t"��4�i.:' :i'w('`.[�`�'�' �`i�t��;_=:'=`W; (�`= �`!�I;'�'*;i`_.'_�'._��;,Is'•} j;! �'•i�-iE��.� I i�+`_. i��.-.f-1�_ �s'=:i`I�`.�i'.i�i'�`!�!'•_ <br /> �=,i�r",_�I� 3 E,{1 �iu{�i �-':%=�Fi�-.�:,'; j�i��i I_'s�_� . .L._!._ �:'I�i�;�i. ?::# _� t�:°�t_:T� �:E_sf°ir'�..z i�(�?'_��C. �:t 7�t� nt_;._ t:E�'�` i�ii- <br /> � I t�f,isy:_i I�i}�;f�I!+E �ir�'�_�_� ;-i!�l1_' =� 1 Fi�� f..�i= ��z�'����'•�s_I€ i-1 3=�}_E��� �r'.'� '_'�3L,•i� i1��s;!_%�•':�_.�r(.i I :� . � <br /> � ` � <br /> i <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />