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, PERMIT <br /> CIT�( U�'ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 ��i,'��.R m t��i= <br /> Crystal Bay, Minnesota 55323 Permit Number: �_, , �,y_,_ <br /> (612) 473-7357 Date Issued: �;;=��i�i :;,_�:<< <br /> SITE ADDRESS: <br /> ;�"'�= �.:i'•'.'t����i!�_ I'=!.._ <br /> .i;j <br /> i-` . � . �u . . s I—i : f—�.�'.—!`t,.�:—i i(_?:_i:: <br /> DESCRIPTION: <br /> �i[11i ii_�� ���.i—`;...F;L��i��f`�! <br /> ����? 13�i�?�� ``��'s�Eii. T-��� °��F—�=:��`�:��:�t•it�����L <br /> ����7. L�:77.��}� Wri��i:; �y�°•�� �i�:�;tl_f4�F; E�.':��,fiE_i�j��� <br /> �_�ll:��rl� t�E'�E=}= ���� �-l�_� . �°�`����:'��'�!�f�3 <br /> REMARKS: <br /> �,�1 d�',il,)i_I�S;�`.-� �`l�1:=�~ �I�.� I i',`"!±i.L.i�+��� �'�ts�_i i�'`•.Y=,�{��`.��`�, <br /> FEE SUMMARY: <br /> '�'r�f i 1��I����i ��1:-: ,.�^;�; <br /> �;.���� �=Y� �i'�'.� . . _ <br /> ��_�?'C�`f%;''=�' ____�—_ �s. �'�� :'t..` <br /> t i-3:-�i} '"Fe�.� a},a:3t_af'��,L� _. <br /> ! <br /> CONTRACTOR: — ;a=:,�::ii�_.�+s;�. — OWNER: <br /> �i:;.t�V`-`=I i � i� �7,:�'��}�I_3(�;`��� ���'�i G�€ t. �:.i't�,�t��ti `_'��,i !I=S(.�I � <br /> 2! i.":�_ i_'_��'�! C �'! <br /> �i�ei�)�i -���.':��•_'�^}S�4 �.�{':;t�i� �i/.}.�1� t..:I�.��J i^t'��.Y` t�'... <br /> te <br /> !_3'-:`_;F 1�! �1h,# L.=_;i�,'� i_f;�;'s_!f•.jtWi j�iJ ��L_�`-�;, <br /> . _ _�:.� __'-�i__�4.� �!�_�-i y.`,7 _ <br /> i'-i:=� i 7�',E� - �f tif`.t��� ���.'=!-�`�' c ;3l.t=`.= E '- �`i-Fi:'��I '.- -�I 7WlE`,s 1 €�1 :'�:zi'�'� f��-�� !�'E��-�?L, i{',i:-'iz���t�i}-E,;;-i:� 3 `.- <br /> i ... _ `.�%��.�_�.e _ �`�._. _ . . .�z.- _ . _ . .. . _. _ _. . _ . .. .:••.4 __. . _. <br /> :_�j=`:�;:T;�i�.L' r�'�si'� f-?'�;'�`.��=`•_� ?�{�! L,';�� ���� z�f.i;�`.}:;, ,T.;,� •W;��=�i+�:� ��:il`�L'!IE-1�`���� i�'�. i ��; :a�_i_ t=:;-r�� _i;: <br /> ._ _ _ . ._ __ . __ <br /> ; I t it•ai_t _iFi�1 !.t.lr'n{` i �'- �t:li' '- I ir ['i l �I�' -:1 I �` �._7� �. ._. _ i�ii:_� . ._ _ ' _� �°.�'.� <br /> _ s ._ ��. ..�}_��_�_, . �a ._. _��t��` � �€�'.. E i �...'_ �� ''';.';1;!il�:`. . � <br /> � � ��---. <br /> _ � � <br /> � ^ <br /> � G�'l ����- rn � , <br /> APPUC PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />