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+� �ERMIT <br /> � ��'!�� �F ����� PERMIT TYPE: <br /> 2750 Kelley Parkway - P.O. Box 66 __ - - <br /> Crystal Bay, Minnesota 55323 Permit Number: �_ -_�:��� - <br /> 612 473-7357 Date Issued: `�`"�"����=��` <br /> � � 7 1 ' ! :i;`-«E-•� <br /> SITE ADDRESS: <br /> _�:�!� ;�i�:�i��yJ�:�;M�C:� ;�°�i <br /> - -- ._i - ;_ - - _..:1.,�.—t":ts1L' <br /> DESCRIPTION: <br /> �,' �!'}; i S f Fz�:-: <br /> 'Z LIfF���:.i l;'i'_� �`��i'(34 3�.� �Y��,�' �T;i.#��_Si;`.`.::,� <br /> . . <br /> _-? � ,r:,p--.� •:.-: +`;;•.•f:�.^ "!"`:r` '�.1.,f�.t�_S..;.i.{�.i <br /> REMARKS: <br /> FEE SUMMARY: <br /> ...._ . . � f 1_1('t� -Y:ri d_}t i <br /> . _ .;i;z , �_?t} <br /> ' -t"i':k'•_:f�-:� �f j <br /> CONTRACTOR: — r:����,:y � r�:��;t. �-- OWNER: <br /> _ _ - - - - - - - - - <br /> _... f ::'i i��-. i I'u�." E t��' ' .}..�: _ <br /> 'i..:..ri: � <br /> . .:� .: ._,• �.'i._::Y i ,i. ._ <br /> ' 'yt. ��� ._�.�.�"��}i"' <br /> �,^' _.. _ !�'�.� ��� .. . _ . _ ,*�'f i�jl::,.. . ti��r^• s.i�"t:_�4' `i' i <br /> . _ _ . . ._ a�1��t'�:r�_ l � 1.: <br /> i -Y;}:� , t <br /> i,jv1\:1-,�:L-'�_lt...�.;' ;t� C : ' � _.d�;'�,_��wi_� .'_ ..'/. <br /> .i �- -- ;1't i-� <br /> I <br /> a ,:; �r , . .; ; .__�..:� �.:�'n� _^t i r' ' _ L _ i: �..�:: <br /> , -� - . 5 r ;— � � .,,� ,i ��,'.- : itki i��i �E� s E;. <br /> ._ , . � ` _., ,.,: .. <br /> .. _. ._...�... _' .__�. .-_.. ,. ._. _. .. . _.., .. _ , . . . ' ; . .'_ ... .:..' .�t_.. . .... _.. . . .. <br /> ._ ,- ..._ �_�. _, ..' - - � - — -'- -. _ , . , <br /> � ��..:�:." �.. ..-.,:� ;: —.�-4-:_ � i�;;=�� t � I�i��; - ' f�; =j :ui'.=t i.:�i��€�` ''; d'�'! r 4 <br /> � 'T N T t ,,.; ,� "�._:.:'•,.� ` � .;� ''j`; �"' '��T..; `'• !' .._3: {._ <br /> __-�z= f-' �•�-,�i _ � �._a F t,_�_ : : . !. •_� ! ;'�.1. "�'it ,_ . ,• . . �. 1 e i '�._ :=. � ' ._��- <br /> f ! i i1�:�7? �`v��;Iu#,:�- Fa�G4 "��I F'«v�� : l;- i"(' s°„jit�- =; t�Fi `>[��E S C,�#� t ai �. ' f -k . S <br /> ,...�., � � -_ . , . <br /> _, . <br /> � .. _. ._ _ . �•_ _• •_. .. ... :. . _.•_�_ '- _ __ _. _. . _" . �. ..... _._� . . .., . I <br /> � _J <br /> /' <br /> � A ICANT�PERMITEE SIGNATURE ISSUED BY:SIGNATURE • <br />