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� ��ERMIT <br /> '� a - _ --T� E _ � -- PERMIT TYPE: 3 �� ��� <br /> i335 Brown Rd. South • P.O. Box 66 �'t" j} i����.�� <br /> Permit Number: �?�+t?�_7-;.' <br /> Cr stal Ba , Minnesota 55323 ; ii,';��;�=;� <br /> Y Y Date Issued: <br /> (612) 473-7357 <br /> SITE ADDRESS: / <br /> ��.=#� ���i�r�i'a�_�{_��J '�-_'�i �d . <br /> t_�-1 <br /> i' . i . r�. � i=}:—� �.".,'--,._� -��._.i)�.31�':;� <br /> DESCRIPTION: � <br /> :. ��:�i l�i c�_' <br /> k��.�_.Ifi�C�i ll�� �`�,1'fsi 1'E. �'i��� t' i,�4��_!�:=_'_ <br /> t..t t� _�. i �f -i' �_i �r� i.__. ;�r..i_f_i�-..� i <br /> �`lt�ii}�. if�� �?"��r�. ' �'� s.�:��I v. �_; r.c_���_.�.�c--- C <br /> i �.�i-i���'t i:i �I=_�� �. L_1-1'\+�:-1��_ 1t�= i _����_�'�.it=i', <br /> i`7T�% =iC eii_i�;�1P! <br /> 411 ! L'! Vl�t1!!U <br /> L LA!:?A?!'� 3iLC!!'� <br /> 1 i/tr7t7L•L 6ll 1 14A. <br /> T d��tS!'F4C�V � <br /> 7 <br /> REMARKS: f�� =�t�! ?�'.�v <br /> Vl 1.TL7 <br /> 1i.ii+il��f VL�V y 17 <br /> i%i v�i7 rv <br /> � ' a�; <br /> _ �.;��:.i� �� �v,,.rv <br /> FEE SUMMARY: =��z��c�rr_.=_��u�;x;� +•,��� <br /> ii�..�•Lif i f e�ner� i�tu <br /> i�:�tl9 '1 'j:�:i l:ifi '%'e r,.-c <br /> TlLi%1L� LritVl 11V1 !1J•i's- <br /> {f!:"�r:?i!1� <br /> 1 V:L 7/ !1 <br /> r� r-_ <br /> G�ct�t` t"tt`C �.�;i_�, i,,lt 7 <br /> `•=�UI'��;=t±''�ti'. �_;-7!_3 <br /> �t_�.:.i�. �CC "'-------.�i�� �i,_� <br /> CONTRACTOR: --- �;=���� i���-�t� --- OWNER: <br /> �f i�-���;I t•#'�� F'Lt_!1`i��I t�li� �3 ;-i�'�� �:_�:�;;=:;_=�:=_� F i������y' 1�1i�P:�:: <br /> r„-,•= -�r. L}: '�i:ti �iT F <br /> C�i_�'� �•_ ��4 1'l t�ie-f�,i,�i_II_iL! l....t'1 <br /> t �, � rc•: f ';�°i t. t�,,: �.-.- j <br /> ;•t i i�I�dF=Ti�ss�}��..�, i�l�� .�.,._ts!z i_� :. i �€i � � •� �,:�.;r��. <br /> c:�.�.��::� °�a:_;:�:—�:_,_=::_.:_: <br /> ._ _ __ ___..__.._____.__ ______--�___LL----_ __.____ _----- ---__.__---_ �.----- <br /> ------- —� <br /> --. :� , =:r.�..r::.-t._,,� �. , : •- f•::; �-:�-.;.;:;- - �-:r-�,r��r:- - - - - _ _ . ,:. _. _ _, __ . <br /> 4 t- . 4z—+ • <br /> ��-iE �:jty4��ry_���fi`?E:,i; C-i��"Sr::.L:�c r^:C'_��;;°C_•=� � �= f"t".c•lt i i.._ .`.�i ii'� i %i i'St�=;,�-_ i�-i'r•_ �r�!!!L_ _�'�t`',rii_i�lE:i`li_i� �.� <br /> u•� e_�.:1� .l -t-: �•: -1-�-•�;-:-� t��l � i i�., . �4�4 �:..�f1 i!_ � !_ _' �i i.._i ti4y!•G 'dr'� i i'i, i���.... t_•L��i� �_it'- <br /> '.-:, , s_:tJ .il'`i.f ;t J�i._.��� �'•� L, _ ;i�._ �_ • � ( ` <br /> r,r, �E.••-� ,- r�-.� .:�•.r.i;.�-.,-., r..=.-r�� _ _. .-. , rt. n��--:_,r,,_..._, ,�: - ��: -• _ , ''.:` �"' • -t-r p " _. . <br /> _ r_,_,.,�� ..r , . <br /> �.SeIE_�ik+_{ ttC'l�.s F t4i^��t�ft.:-.•_� t•}3'•k.1 ,":� ! t-i ! S:: :_,ii- t"i i!4t�!t�_����_� t !'=! E::��:1 3_Ll�,}:�(�a ti.i_IL'ti �l��.:''•.+J.tir#'ii:..v : <br /> � J <br /> � � <br /> APPLICANT/PERMITEE SIGNATURE . ��J ISSUED BY:SIGNATURE ��J <br />