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PERMIT � <br /> � <br /> � �ITY �F ORONO PERMIT TYPE: _ I <br /> 275� Kelley Parkway- P.O. Box 66 - - __'= � <br /> ' Crystal Bay, Minnesota 55323 Permit Number: �_`,�_;;_,::�� <br /> (612) 473-7357 Date�ssued: {�:-�� :-�L : = <br /> SITE ADDRESS: ^ <br /> ______ ---- _------.------- - ---____ --- <br /> -- ----- -- <br /> DESCRIPTION: <br /> �;��- <br /> :._;�.�; =��i s�?s� �°���rr,. �. - . _ <br /> ;:...,�: �;_. <br /> _�_�; 1�:�=;'t°� s::•,_.s {.. i�yc��i <br /> ;�ii� ;ir r_ic�.�>;:��; �,,.._ : <br /> _:��Fi`i.�T.)'_;,�fi.7i::ji f V���. �:��:.: <br /> - :i : �... _ <br /> REMARKS; <br /> FEE SUMMARI�: <br /> . .,..... �._ i t 3,. <br /> _. �i! ;i':?'if a,F��'�i` . �1 . _ _. <br /> ... . �-i-.- � . �...', ' ' <br /> �����..rt 3..4 i•'�.� s�?� .. x .: '.��;.� <br /> _ _ r__ _ _.. . <br /> ; :...f'.:i ! F";..s;�: �-". C..��_' . . :.`��-' <br /> CONTRACTOR: OWNER: — �::���s ;_�_�!_�� — <br /> . .z�"-�� i=�°I�����: <br /> _it)ii �::;��_i_`;` :!t,i� <br /> ;C'=�'-�1 <br /> '.•_}`c;€_t€V€_} i';'1 _ - .- _s <br /> ::i..• — -:��s`. <br /> , -.� ,....._ .__,..�,. _,:--.,. _�;�. :'- .__. t ; 3_; ;''p;y, _ 4 � � <br /> —. . .., <br /> ,,. _ E �-'-!';-;-e" 1-;i�',Fi 4 :�: }"'�¢-,;`f�:�r:_�,�'• .'"•.1 . _. . . . ._. ,�{_t <br /> . :,, ;. � . <br /> ' -"-�j,,��v�',. i`�'__! . . t = 1 .... .._ ._ . _ <br /> ._ ._.. __ - <br /> - i --.:..% : r._ •.`.;-:�� t v.. _ _ �;i...>._ .. _ . . . _. . � ._ _ . _.t_i:°; _._ .. ._.f�'_ .. _ =r . ._..... _. _ . _. <br /> : 'i;T� " , ;:: .-. :� :�. �. <br /> �•.,: <br /> _ . . ._ i r ih`; i `pa,v. <br /> _ -.-: -. .•`-- -- - - - - - _ - <br /> ; g,f:-�;�j'•_r.:�� '_i!'�i_� .= <br /> __ _ `r�`�f 1� :`s i i � .. ._`�_{ iy.�R,'ti i%;��j- ._i1 � <br /> ��: . _ � .• . ;-; <br /> �-. i <br /> ' ' <br /> . • . '�' <br /> .,r� <br /> . <br /> � • .: :.? . <br /> _. 4 ... :_..._ � _.._'- <br /> L _ _, _ _ _ _ _. . . _ . � <br /> , ,1 <br /> APPLICANT PERMITEE SIGNATURE � ISSUED BY:SIGNATURE V <br />