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PERMIT `� <br /> Ci'T� .�F ORONO PERMIT TYPE: - - - <br /> 2750 Kelley Parkway - P.O. Box 66 Permit Number: �'°-_��%�";'�'`` <br /> Crystal Bay, Minnesota 55323 Date Issued: <br /> (612) 249-4600 _ - - <br /> SITE ADDRESS: <br /> _ ... _ _ _ _ � <br /> ::,_:._ �_ ; z ; ; ,_ : •,:;,- :i>_; <br /> ::� <br /> " ("`_ i _ i 1�, - �"i <br /> DESCRIPTION: <br /> ..... .._.. ..._ _. ._._., <br /> i_�{�t� � ._�.E��7 j='.�:i'�•;;T, `�r:� -`-`i-- 4-'=.!'I�'.._`,:_..�;�,�rv,.T; <br /> _._ _ _ . .. _ . , .. ��=:'-,�;M �r::�''- <br /> t-;° t :`:: �i�_; �"Er•�: ��°.•'C.:�:' r�.. .���.r <br /> ' _i1_. {_`:._ _,,�+}°.�a.!'; �j'—•,`� <br /> _'s s"�•;'t.1't_:i_'S.�a�:t-; �' _ <br /> ..__.=:tii°ti _.. ,"!'t <br /> `.i--' A.I_i'^;. ' i-; _' r-iF:'1 i F i r-,}...i <br /> . .. . ... �. _. ..»_ _ .. _ _ . . . i . ».._.. . . _.. . <br /> REMARKS: <br /> - - r.... � - -- - _- <br /> -��„i . .� ..�-v ' . . e ! ._'._. � .� _. � � F�s_sl 4 i_. .- 42`��. �. �.. . t . <br /> _. _ . .. __.__ . . . . . . . . _ _. _ .. . ..... . . . .. . . . .._ . <br /> : 'i • . �' � . i _ <br /> � � � ' s 1 }-!. � ..� I. <br /> .. <br /> . �_... �..,:- , .'..,. . �� i . : r . .. .._. _ . . _ . . .. . ,. <br /> :. <br /> ,F. � �. <br /> FEE SUMMARY: <br /> . � � , . _ _ _ , .. <br /> .�_........ . �.._ ss+,+'f� .._._ . �_ <br /> I-'i, ;i"'f . ..�t`}.•�'S�4 d:!:� --- - - <br /> .J �_. . _ . ... _ <br /> _:€s?'i_�';:�+1��; �_;.'- , ;.i <br /> -- •- cci - -� i_�- <br /> _���_• .. k:,ts_i <br /> _�f�i,: fl};;, �._ .!. <br /> 3 ri�.ri ! �"_F?F? ...��.�..._���1` y_ ' _— <br /> CONTRA�TOR .^ _ ' ' <br /> �..: F , �� , . <br /> . ,,.. , ; , ; <br /> .. <br /> OWNER <br /> :.. .. .. . . .... � . ,,:1 . , <br /> : ._ _�::_ =f��. .:;�:=�'r _. , �- —— -. .. _ _ .. _. _ . _ ..._ .:. _ '.. ._. . . ��:"a?'�;�::�:=�'�` ._.. . <br /> _"i.( '-. 1 t_I:;:-`�•.!'� . .. . _ t:.- . . ., .._. . _�;{f'•..�,j ;r�F:vF __ _ ::1.� <br /> . '�!�..._ �'�-�„ >>3 ' - <br /> �ii� t„f��SF�??�"r�3S�1�L�..ij . .�.{•..._L f� 1L.�.Y,ir:�+..+�+Mx� w.,. .. .3 . , � .. f� �F _.� . . ... .. . . ..._ r� ._.. .»j .. � a ..,..f _ "tl" . . <br /> �:r�'E�'�I r �:.__, :'�C�i� #��a�`',���:; �'�� �};�� �� ��.���.,►�'., t� -a;z t is '_'._ _ .� ._ ._ .. _. . . ��.___ � ._ . . �_ <br /> _ , � - <br /> �;. . � , ��,� ��. <br /> ,� <br /> _ . ... . _. _ . _ _ _ . . . _. �c �*�����g::,�i�t[���:����,,,�!� _ _tl.,�� =�� .� . __. . <br /> L � �.4 <br /> � <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />