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PERMIT <br /> Ci7Y, �F ORONO PERMIT TYPE: <br /> � 27C0 Kelley Parkway- P.O. Box 66 .-:=:.:-.�-r':°'v� `. `` <br /> Crystal Bay, Minnesota 55323 Permit Number: ;`i�� �, 4�:�, <br /> (612)473-7357 Date Issued: i-,� j;_r- i,_,;. <br /> SITE ADDRESS: <br /> f <br /> .. _ <br /> -----___---- -----____------- ___ - - --- <br /> DESCRIPTIO�I: <br /> _ _ _ _ _ _ <br /> �>t��=i:;��_ C�i;w;W;f�� _�,�,��,'-��{; <br /> I C;i�`i_3��� � . `=:i�3f i <br /> � i-��,`� i'I���a =��3`��>i E�1:� t=i s�#� ?�[r�T!1(;°��_ . :�;i=�°�; �.-�.;•�W ,::.:,:_:?'` <br /> r�n�-,E`)€=j �"ii=�,� ;-, <br /> REMARKS: <br /> FEE SUMMARY: <br /> !%n����;T 1.�_�I`� ��_, . - <br /> _ r .- - � . . ,. <br /> ;�.��� s�� �=x� .t.�4: i•���iL .�C - <br /> :_��.�t,}�#-�.����N ______---�'� `�' ' <br /> CONTRACTOR: — f�F,��� ��.:�E-,r. — OWNER: <br /> _�i�±i�Y°�;1 h`.� �.t�t_ ��`��i.11�_�s��.�. ��:�°�=ttail�t�����'.�� t';;=�;::; <br /> �_ - � f;: � ���� - ,; r:�� �- vt:-:`5 <br /> �.^ « <br /> . <br /> .. ._.. 1�':.-.— . . . . . _ :v, %J,`� t`:; (',.;ir-, _.;',r-.,.- ;-; <br /> f 't...f,{.;;;` t,�r-,.-�::' ,it�t f 1_I�'., Fa,�t- - .. .... _. . <br /> �L��t�'+ t=`�°�I�I� f•it� �rµ;,u.� 3w's;;iljwii i i`�iL� _ _ : .. .. <br /> {,f-,; ��=.'1 =!'�, 1 —i i_i.•'�.El ::.i f'�_.`=1�,^:7 �- <br /> _ � •.-�,_•-.—; _ _ __ _,-: .., _ ,.� , _ <br /> TN� ����,�t��:.#�:�����.��,ii-f t :-#�'�.`�_�'� ��.+�ti.+}�,� i`�� F _�;`�i�, _ �;T �; i , i�l i��;:��:::� �..��� � , ,: T>.r M � r-_i�� <br /> ..__ : i a `.a°'..3._ 1.. .t r `_ <br /> _..L _.__: .__._ -t T --..._ - - - <br /> :_,�'�i;�!` t�.r.�.F ?�k91; t-_=�!>�,�:�; j I`_t i11�i t-'sC..L �A�����'�. 1!v :f; ; 't,-�`i i; ; ._r(>i''i_��'•-,[?t:k .. _ . `.-a _� ;_ , ry , �•_ ^��: <br /> L 1����.��'+�:_1 !i�,`i.�}��.�i-1��;_:�,'�; �'j?`+!s' _;"�V�.,''-��t= 1 is.= t�l���(���:�.. ��i-1. ._ #�?__._i�;:�? g_ _+1` t°'..`__{-� �. '.��_ .._I H i'w� . � <br /> � � � <br /> ���c Q-�n <br /> APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />