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� - PERMIT <br /> GTY�F ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway - P.O. Box 66 = - _ �� � <br /> Crystal Bay, Minnesota 55323 Permit Number: °��'-^�,���� ` <br /> (612) 249-4600 Date issued: <br /> SITE ADDRESS: <br /> ;...�;,:;� <br /> DESCRIPTION: <br /> �.�s�t�t�:j }>:'1 -�;3'f�:i : i `'- :_ i _ =. f t..`!'.5-,;=' <br /> - --..9�z.�I�i'-� ..:-i i��:; I .•'C.+_: f";.�^.'-��.t��_._.. �'";#._ _ 3 J.1'd�� <br /> 1 4a;=��; r i-. . ..._;� � ._i i ^ <br /> REMARKS: <br /> FEE SUMMARY: <br /> -_._-� i'.�Y � - . - - . ,.-1i_—�i�� s� .µ� ..__._____ =.` �`' <br /> . ,.. .. . __, <br /> - ,- :�., , - <br /> `��:� ';�•�t�_��-� � - • ;.-s�;;:�i - _,-, 't•= . . . . <br /> ,_, .—:-�:.a :..: r',: <br /> _.I ._. {:_.. �-_ _....____..�.__... . r <br /> ...�i]T.�'�'f..; 3 . - . _ _ <br /> CONTRACTOR: -- - - - - - � OWNER: <br /> � .. . . ._ _ _ _ � _.. .. - � - - _ <br /> . _,; _ F:;. -, :-�:r:: - _ - - <br /> . _._ . � _ <br /> _. _. _ . _ <br /> ;t� : r -. _ ,- _ _ <br /> � �_. ._, _; ._� -: : �- _ -. �. � ' _ ,. ._ _ _ <br /> _ ,� <br /> f t��'_ .['�_ �.i1-"= _. .?._ ±_ •' __ � � - �- " ' 1 ,c�t.__ . . ... . ._.. _� � _''. _.. __}'�? . . <br /> -..-. �-, _.-. . _ . - <br /> • �. �... r �._i e � iWf [ � �, 't . i�t3 _ �.Z.��� . ._ ._.�rli •3 e'!. ._...» .. .. . F € .5�.,.. w Y. � <br /> s �:' <br /> � ._'f __�_ ._: _!..�.�' s �'..i �. ... ..,....._�, � .. ,.» ..__ ��. ._ ." s . . .. . ... <br /> _._ , . r . . ���17� i � �'Y' i ) .� — � k " Ls� >� F":p" <br /> � � `r� t }� : . . ' ... - � . .. _ __.. . . r. _ .. _, ... . .�-. _ . ... ._... . _. . <br /> � _,. ._. .... _ . ... _. . .. ...._.._ .. ...., ». . . . _ . . . ._._ . . .. , .. . . . . ' �J <br /> r <br /> >��l��L� ,�C,� �i o�.-/'� <br /> APPLICANT/PERM�TEE SIGNATURE ISSUED BY:SIGNATURE <br />