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�ERMIZa <br /> � � . <br /> '���� �� ���N� PERMIT TYPE: +•��i�rE�i�i�.�� <br /> 1335 Brown Rd. South • P.O. Box 66 Permit Number: t'�����=� <br /> Crystal Bay, Minnesota 55323 Date Issued: �t�.i t;.�!��i <br /> • (61�') 473-7357 <br /> � <br /> SITE ADDRESS: <br /> i:;;�t, r`��i�iL.r-i �:.n��x�.: u�; <br /> %.i-j <br /> r� . I . f�i. : i iF-i i:-.�_;-.��-�i,�,�,•� <br /> DESCRIPTION: <br /> �-��t� �� .'_���i°i <br /> i i"i�i1t i!`J',� '_7�=�iti'i�� t.i�j•j i:_,ilia�i t'�'!� ���i:_c - . <br /> �-t_i�� i�f-i i _}ti�;L_ t�i-1��� I`i'rtt�•.t. 't-i-)ti'rti 1.tti <br /> i'i�JU�� �,;�:_,F47•,.1 13IS'_',:_��+L. a_t'•i ( r'ii i ��j, ,ia��rt,t <br /> j{'�{!'�i 3 j t::��j i 3i)f t <br /> 1 H I h; �•�af`iiJ i i 1 i�i�J i i�ii7 !'IHt�•.c ��Ht';i;1 ti; i'isJlJt.L =��1 t�•.t�t_7.;`Lb <br /> �j f_Ij\{:_, .� <br /> . . ���j�� � �� � � , . . <br /> rN <br /> �" ,� � � . � ,. "� ' « <br /> � � � � ��" r�,,� �� ��rA <br /> ������� "� �� , <br /> . . <br /> � y <br /> REMARKS: <br /> i•.7�T•: <br /> } ++[ �'!ldfl t <br /> L1! 1 i:! Vf�L�1TiJ <br /> 'y.'ih?;?ie!'L 1?��t!'L <br /> FEE SUMMARY: �:�1.=��'�-�-=-=«- tt <br /> V 1-il_R.fH i i t_�i�t `�s: i%i �e.C.i� ��ir,i%v <br /> i�':' :�r':;;;-�:iri � <br /> iL.:t,:�tvJvirv <br /> _ !!Y 3�A� ri1 <br /> L'�i�iSt I-Ct� 't} ,L11J ul VLl1 •,.tV <br /> �•..�•_ . <br /> :'i zrl <br /> - ' i::LiL L i i i ��t�.�!v <br /> :�.iai'�f►c`ll'��' ----------����;.� :,-�!"i'=l:T�.��LilAlk' '}•'l��I <br /> i�W��•ct� �"�'t �.�,�F, .�'_1L I ITL4L17 1 t e irnttt �vv <br /> ,�-.��t.c:"`i"t i•r:r't? F:�:� i{t�+9;� <br /> rr�..�v,.��v �•vv.s ��vi i vr•t-► <br /> r't l� !ft:;O� <br /> 1+T:ViJ!i. <br /> CONTRACTOR: — H��F�i i c�.�4�.. — OWNER: <br /> _ _... .---.. ._. __._ . .__ . - - _. _. ._ _ . . _ --� �-- <br /> f,,.t.i1i1*� 1 fi1 4 _�.�.1G I'���7 t{ �..t_ii i�j.(��� ,;�1{.ftE_�j�'1'Yi E��f'i{�L.�'j _�f�ly� <br /> j,i�:_:;=!_a l.•t Y ttiU �:i 3 1::���i i f=ti�IV�•ti l.•t�it�i�, Ut; <br /> i.I�LFlIy�_� j'ijy :��.��,�'��: �_i�if�ii�i_I �'I� �.r.:-:'��, <br /> !;r,�..;_'.! %�-t�.i��—�.'.;=`�'a <br /> r--—- ------__..----- _ _ � __ ___----- --- — —__ .�_ --� <br /> __ _ _ _ ---- --_ _ :__ __ <br /> I r� r��-•z r-r � r�--r, r�r-;.. T .r�-:� t�--�.,� �, - <br /> ���f i� L{`�l�JL"_.1��i i,?I�Ci} ri�f:C[�Y i't�_t3;t I�•�'} ti. ���r'{1'!�•_����2 t_�!V !�_� �`I!���•.� ��"�f� �r t-l�. .T!i��!'13.�Y�I'4E.F�I !_� <br /> '=�i='c�;i�I�C1 Hi�1;� r=;t�r�r=�.°�; ..�"�=i Gi i H�L �:�i?i:��:: I i�i :�����i�:T i�:��it1r='�.i r�tvC�� �,�I T�-1 i�Li_ ��i T Y ��� <br /> i�t�i�3iJ��� �_+�+C1 t�'���`i��E'_� 'r`s��i ��i�*'iTE� t��� i i I i�i��:=�����[r`=t c�t l i LCi I i�lia C����C�E riEt�:t�i F��_��iE P�!I`� . <br /> � --_� <br /> �_ � <br /> � <br /> �� � � � <br /> A LICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �.t./✓ <br />