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ERMIT <br /> CITY OF ORONO PERMIT TYPE: <br /> , 2750 Kelley Parkway- P.O. Box 66 = _..�._;:=:�.;:i�,�;; <br /> , Crystal Bay, Minnesota 55323 Permit Number: _ _ <br /> (612) 473-7357 Date issued: __ `:'f';�.�_` <br /> SITE ADDRESS: <br /> f::�= =; ;�:::}�_ ._. .��t�:: , ._ <br /> _ � <br /> ._ _ . . . . _ _. -•f t��—_..: _, _ _ii f:_i;:i <br /> DESCRIPTION: <br /> _ . ,�:����i;° _;�_, -=��i�� <br /> __ tz�. _. . . . <br /> -`f,ti(�it;1 i�+'� '-`r='��p 7 r. !T<=t�;! I�- : ,4 i!_��.`- <br /> _ ����ri i :_ �;�:_it'r:; 'r C'�r� 3-;F.'.��T;��,{�il4,`� <br /> � jxi�.�i :_�!_I3- I�y:_'•. <br /> REMARKS: <br /> FEE SUMMARY: <br /> . . ._._ :�;i i[.t`�i �•1 , � _ . i <br /> :�-.-- w._,:-. 4.-.- .-.,� - - <br /> L'.-,�,w . •�.. . r <br /> ..�..� .r ..;s� I ' .,� : _ . <br /> � .._,_ .a..�. � t.:1 �•{;;� i ,1 <br /> ' .„ -r.-.:z.-� -. . _ . _ ` .. ..._ _. _...,.._..._...._...---..._.. _ -— �- <br /> v_;. ' <br /> , c- <br /> > - , ���y f ��3.::y <br /> _'�i S �_..s�... ',i H_ _.._..W��......_. � �`� _..._ ( .� . _ ' ' ' <br /> _-?j_.T.?�?..� i :'--`? - _ <br /> CONTRACTOR: -�� ��;�:���; _ � .�_.�.�: - OWNER: <br /> - - .___;;�r���� ._.� _ � . ..__��� ;:��� �1�=:z.-...�.... :��y,-. , <br /> _ _ � _ _ _:1--- --`":`'�" ... .- _. . . _ � F;!_ i:�t�- �;:., <br /> _. . ._..`t_4f��;,;�� i:j;..� N __ __ _. ._,•`.i � . _ _. .' _ - <br /> � .. _..... . _. _ _ _;_1t_i _- _ - - <br /> 1 •.`.. !¢t;E�=`_t;"-: }�t�i',-�� - �-;'t` '�'i-t:s;: - -- - - ;_!`t� .� 1~� ;:-��i;'��. ";,y�`. ��i_'•.i - �'F:- <br /> _ _ .._ . . ._ _ _i�{�_.._ . ._.. ..._._ . . ..__ -__ . _ . ._`•.(�i==�=+s. .� . _ � .. .. .c._ . . .._ i`.'--i�-.,,_ _'!�"`�-'[_!�_�`-�`I,�i'•? , - <br /> �_ ._.,_, -�._._� _, - - - - - - --- - <br /> • �. ; �. ; :;�.,}. -- . 3 =-` <br /> -- _. s t ___ �-�,v,�� . _.. _-_ i�i_r _ _ i.;;_ �f i_ti-e;�'�: _ . - , :i ��'. S w,�-� u,4 t ; f `'� <br /> . . _ _.. .. .. ., i.,. .......... .... .. . _.. <br /> —......-..,.-• - <br /> +�•: r i��i i T -. � <br /> L �..f::��!`•�l_� :_.,;�,� i f .t�f . .:_.`_`• . . . i _ '- i•' ` __ ':`?...;*� �.,__. _ i Si _ . i 1_,�+_A4`.7 S_{_ i` . .�":.;f _. ....., .._. . � <br /> i'S�V F } <br /> W�l� ���:a���� <br /> APPLICANT�PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />