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ERMIT <br /> CITY OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 Permit Number: ' ''' `" ° <br /> E Crystal Bay, Minnesota 55323 . _ �. _ _-.- <br /> (612) 473-7357 Date Issued: _ �_ _ _ <br /> SITE ADDRESS: � <br /> � . _ _'=°.`v'°� d�:=�..._ s_�_;�r���:: �'.s= <br /> _;� <br /> — _ — — — --- ".f;� : <br /> DESCRIPTION: <br /> �,;;-„��:;.��:'; i�°�����i <br /> _._... t'j=�?°-'�i J-�:"}'l3:�r_. � ,fL" _ _._. M� —{�`V'= , _ti �';^t�` � t^}�;V <br /> __ �3 {f�i�i ii..t {�i�i i'{�:. i �'�`L'.. �ii ���it_ <br /> ��;i�ii�'-• „.,iy7i�._ ._._ I�{��S}fi���....!�`.� _'i i�'i3_}�_ i . <br /> REMARKS: <br /> ' _... .�;T� e-'F�:�7�i i i-:-i,?;_%:.�:�".�.� �F_�i'�: �!_=._�F;;T i:r�t_. f.',� � i-�'. � �. .j . <br /> FEE SUMMARY: <br /> :'��_;s;:z�; I 1_���� �.L! ; 11i„1ti <br /> -�.�t;�•n . =�t� `t;`�t�_t . . _ <br /> `''7 =:i'1 ��`c•;1%},r"'i�'• �1,_� , _�i5 <br /> `._�I�(i'��i'�.�j`���'=` _._.�_._...__ �'.�:.�:.�'_:�'x <br /> T3.�� -ti. �.�_ :C;_ _ . :i`'d <br /> CONTRACTOR: — F;�=�w�� i ���.�;�: — OWNER: <br /> :::a � .-��i�! i �'-' {.- --- -'''.j;_ . 1`�� _ .. _. _ W '.'':i-i I�_ (_S;=]i� <br /> �?:=�_1 �<'�� :'•,i,;� -';; i�:�;;�.}:`_�•�a� �:;;�.�`::: !;'ii <br /> _ �i °.ip,� - . . .. . - _ _"=� _$' ;'p;•;;-� �;`i - - - - - <br /> . _ ___ . _ .. _ _f� _ _ - - - - <br /> ,-: ,_ �..•:-..—�-.—.r—.:.•--._ .._ � _ <br /> ��._ �.:.�• ,�_ su_ i EW., i�._;� _ (_^• rr,. �'i " ''"^i � �i.;,;"'{;r�:."{'.;�_:.`� <br /> .r� ...._ �_�..;_ <br /> � i s!_ + . .:a c_t -�};.77 .1__= : ,._,:� f:':' !"y`r_t?t_:w_._: � _ j-'�_":_i'� 1 '.�:`�._1 r�•t . *_� . 'i-}`�•.?":. s`t""I� '�.t_%-i�_ :.I'{} . ._ __. .__: . `s � <br /> _ ._.�._.,.r,.,._... ,-. - - - - - <br /> < • '" <br /> '-�_':_ � � . : , . .. , _ . <br /> . r••i <br /> . � !.�` �:.. �. __i-,_ � � �i:_i r3� ``�'+�`�. i?`ti ._ _. , _t_ ':,6: t;!j {� t-;. ( i�; i f 3d- <br /> ; �.;� �� :�: ; _ <br /> . ___ <br /> • � v;�,_ , . ._: t �, � ,. . ,�„ t,_�-:, <br /> _ _...,_ ..,_ _ � <br /> ,--. . <br /> .s_< <���, ,�_; � <br /> --- <br /> � _,,,f ��,,e._i '_rS'•: _ ` •_ - _. . .! . e 'i-3ii». 4._'t .`!L� .�,�.._... _. . . . __ . _%_L1'.!��'� _}_S«!t`'_. {.... %S.i'+.�`._�._,_f . ? .. . � <br /> i <br /> � � (f��� /� <br /> APPLI ANT-PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />