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' - ]PERMIT <br /> CITYa�F_�RONO PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 �-;:_!T;�_i_7:tif: <br /> Crystal Bay, Minnesota 55323 Permit Number: ;a�:}:^,_.�;_:,� <br /> (612)473-7'�5`7 Date Issued: � :. ; . � ;,- - <br /> i :_ , i._. .-!P-� <br /> SITE ADDRESS: <br /> - ����:�!�:s H�+��ti=:Ji�i=�i1 t;i:� <br /> ',_h-� <br /> �'� . �. . !�� . . I i�_� f, :t'_._'i'_�_"1.Li7.—'t_it)�..�l.. <br /> DESCRIPTION: <br /> �4��::��:: <br /> c-:t a 3 S i�1'l`� i-'�'i�C;€=+ `;r�'�' '•���--���fs���.3:�'�!_��.a�� <br /> �;E,.�3 �fj j�i�� '•;a�;_.i i'{:; �y{=.'�? j.iF",(..�:, <br /> t f.-:l_ S 1[f E.,�1-`Ci��I E_ i� {- [!�"_� <br /> :.f t:j��.��'�.i[�_.y t�i;�f i li��:..�� V��1� <br /> ���)'17.1'1�� E._�;-'�,�� <br /> l,t=�'I��..�� 1.:��ti i� :.i.:_.�Gt �ii_ i . ;-i`�:-�iLicv.iy I _i-tl <br /> REMARKS: <br /> FEE SUMMARY: <br /> 'J��_t�r��T I:�i� �1 `���:�:' <br /> .=;:��,� �=�� �r�,�� . -`L <br /> z-`2 _t i i 1-i f='i/j t'y;E SE�(), �J,.F. <br /> `'.">t�E i�C(-[%:i 1''�t� ------- —�'-�i�sl�-, <br /> ..�f'�}.4.1 �'��= �.L(i:' , �,% <br /> CONTRACTOR: OWNER: — t�F:c:,i i r�;;�t. — <br /> ;iR�i_P�:.` �Ew��iJ <br /> �}.�=��.a i"�?�:i�la;�; If_,I{,i �;� <br /> I_s;�`�'+l��s I i•i��f {��:_'•f=,�:;. <br /> tt.�i_.���^=•�:: <br /> "(' ! � j�.. €=!'"y `.1".,�}�- ;�::-;.'t:.:--.-. . .,. '"�fts f!; �.�iy '°1,=�y • t)::"` E.�. _, <br /> : �i� :�'�it ,_..�"?'���':71�;!..a., "�f=R�. ... ._ . i�"_-.:_, 1 '.= 1='<_�;�':g:�:'._�;s.� _ �'!`•it�,`: 1. ..._ 's�:z....i•,1_. 1.1'I''I'-'.=_�•a+_.i'I��� i ,_ <br /> �•���..:i .�_ .. . ._. ."-�'. • -- �,. _.� � ' !} ^ .. r!.._. _ s,�'.: _,, .,_..�. . i _4_. .:� 7 �, �.i�. <br /> { � I =1+ �-;�';i�f ' S+� �7: . .*"'t�.L �::�_.'�"?f'�. !.S`,� -� I ki t . [.E t1 ��"':..�.h'?4'.�! �,'� s i"� t'::_»#._ �.•S 7 � �..'f' <br /> L I_t�-il_t}\'•.6 t_I;t`l�!i.zt��t,�f�::__�T: ,���j��S� ���i-� _�. �_��" ?�i L�'+����:y�l I�=� `�!�r i._.sa..).L��::� f•E.il�.�fm. {':x`�:,�: ��.i�.�''"F,��I,t"��=; � <br /> ��� ���� <br /> APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />