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PERMI� - <br /> °''����TY OF ORONO <br /> PERMIT TYPE: <br /> ' 2750 Kelley Parkway- P.O. Box 66 :-;�'ti;s�r; �: �:�"��r� <br /> Crystal Bay, Minnesota 55323 Permit Number: �_;i�iY�_�_�.� <br /> (612) 473-7357 Date Issued: �j�,,.�,�,;,�� <br /> SITE ADDRESS: <br /> �_':��,i a �i I;� '=�T <br /> L'=�i1 <br /> l�` . I .t� . t��-i. �.;�-':`:=;-�.a.-•i"�i�t:3J. <br /> DESCRIPTION: <br /> :��:i�,� �_:E:r�-rl�: =:��f:-r�f� <br /> �=,�w��� {�f ��;jT.t�l� c',=,�,r�ii� Ty��� �W;�t� °�;�t='Tiw� _�'�°=:TE <br /> :-.t+��i: ft �:._{t.Ft' ir.��.ij��:; I VI:�E�? �i�,'.-� I �,1F�`5�.� <br /> REMARKS: <br /> FEE SUMMARY: <br /> E;:�j�• ��� �i i,�.; . t=�t=) <br /> ���ld i'C�"t�}���_ ----__ 'T' '`�.d <br /> ��t-t'{_.���, r=F+t! ���i�if�)�_-�t_} <br /> CONTRACTOR: — �r=���. i r ti t-yt. — OWNER: <br /> �F�{�Y�:=� F_.}�l.•�f�i�=i 3 ��.Elj ��Lt.�'��. t fY•;_ l,,.�i��.,f,:-� j,f <br /> :��,=� `��:'t�iG =�T td� �.:=��s_; ;=t;;i •=�T <br /> t�►:�C�!hE��:�;�: i�;�: �,.�,:�;�,:_; ��:��_�"�+:1 t=i#�� �.�•.::�;�. <br /> !,li�1:.`_`.� �'i�.i •���.}:.�. {.>>�1.�:..�S�'7 C��ti^i'.�i <br /> j"}�1 (_ItJl1=[� �i t=,:�'���E�i �p��'sY;�l-�`i� 's='��t.�i1i_:� {�'���i[�3T:— —:!�If' �!�i �i'�:`F= i¢: � i.;;;>'�t"„ T,ji.:��=j:'�y3�"t,��' ; �_ <br /> :�. ! _!�I-'��.. F f!__. ..'� �� F- . .. _. _. � . _. . .I^.!.�. �: __. .W .G. i . . . . : !!.._'��_. <br /> ���'��_� �� i t.� f��'�t�' f-i!��''`.�'y�_� ? �.� f_i�_g !�?_�.... �k�_}11f��. ��`� �=�!�`.i t_� !�? il,'1`'`�._?Li�'3'•_:� 4�',? �I�1 ;��..?._ t,.. � ? 1� 1 I� <br /> L !_4�tt t(1jl_I i_.t�ii?E t'�f�i��l:�,'_� �-'t..,�';) ��i�¢-'; i i- '_.`�' i'i j 3'tiC'��:��i_l�j-i �;;��}T L�f�.i'�i7 �:I�;[7C. �4�'iRii.1�i-;i-,('`;�.��J�:ro . �.1 <br /> �, <br /> � <br /> APPLICANT PERM E SIGNATURE ISSUED BY:SIGNATURE <br />