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PERMIT <br /> C��'1"Y OF ORONO PERMIT TYPE: <br /> y 2750 Kelley Parkway- P.O. Box 66 �°3��,;i�F�fv'z i;r�l._ <br /> Crystal Bay, Minnesota 55323 Permit Number: _s i�;:;;�: <br /> (612)473-7357 Date Issued: s j�,r t,�_;�•F�_� <br /> SITE ADDRESS: <br /> ''�_�� ��;�i��ts;i 1! !{J i-{'1!�`•_� 4E1 <br /> ��:y <br /> ��. � . fd. , t i;;_`—: �; ,.._—:i i —t i.�)i;'�:: <br /> DESCRIPTION: <br /> N I��:'�it: �:'}`'�;�`:'I <br /> j t1;_f-t�I_��:� �;''i'`��i��.i'��� �'��=ii��.f_ L�;'�I��I_i� �=1! i�;;:r}._ l,.�",�i 4;�=1—:ii_i <br /> �-'!}T ;i.t-i, 4 7!3f) <br /> ��� _ - - <br /> 1 r�I�; !=i_it,�i t;l"ii��=�fI�v�� �'it=���:E L�i�i�fi�;�, tii i�l;:� t-i'�;;'�,—i�+�'s�� <br /> � `•v'�,,;',t,!�I j:��i_ii�i �''�{�ti:.F- t-�i.-i�!-i.'i j�l 1��;)h``Y <br /> REMARKS: <br /> FEE SUMMARY: <br /> �'HLz+�:1T I=�►��i �7 �i=�i:, <br /> r;.a.3;:, �,,=�= �•'�(i . i_ii_i <br /> `._;t;.�ri-�;:;���F.- ------- —`�s <br /> ��st.;-�! ��H= ��`-f`-'yF�(3 <br /> CONTRACTOR: — �����-�i i c��t��� — OWNER: <br /> ;3 t !�i��fv[j e-iT�� _. �3:�: i�•.ii,�: _;;��'�i:_,'_; = F-:i_iiait,;'w ����;��.; <br /> t—�..'l,�i..� t���1���1 �trft_ `_� `�;_.�t �4�'(34=},1��l;��� �'�a L.t`.�� i'�;�1 <br /> �:i i.i-rF' _��...L} t�ttf s;L�rj:r_.�� i_tj�;t !:',i�_I ��;'v ��!-���',-+j <br /> t.''� .:`.�� _ ___�—�='�._' <br /> i h-�� t,,:�vS_;(-!-�t�1;:;3'°J�_;i �t-ti��=;`�' C�;:',;:i?_Si-:r:i:= i-'�,-�i�ri 3:r::_�t €�Ij°,1 I 1�'i ��i�;j:;.�= �";;;- E-;°i-,�::_� ?€i�"`i-i1_f'+.•'`i'i�.(`�!'•- <br /> —;C� ' s —+—`— i i L, ' F ;'•. — — L� v`i i I i�' F_' <br /> �,=I�I�Cz .�.�i�; �,af�°i._: T�s �i,�� ,.��_�_ �� k: I,� w;i �I:=T .�:i Et�i, :_I-�:�t:� :;: i TS-1 ��.L �T� : ;;= <br /> L f_iPv'i_tf'yf�l :_.��?�.j?l��i�t-:�:<< �'-i�3[,i -� ��-�i�� I_3� �'�.�i��;;;_'.��I I?�{� ��;_1:i_I't�j�i; i;iWit j#- t.'�(�;4j tt�'�r:;�,_1'u ! `. , � <br /> . � ^ <br /> �w..0 ^p� � <br /> APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE •'�� � <br />