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PERMIT <br /> �I�Y OF ORONO PERMIT TYPE: - - - - <br /> �2750 Kelley Parkway- P.O. Box 66 �:�==•`����`�=`-�h'-�� <br /> Permit Number: ;;� ��,,,;� <br /> Crystal Bay, Minnesota 55323 _ _ _ <br /> (612)473-7357 <br /> Date Issued: ,��r,s'�;,_�,f��;i <br /> SITE ADDRESS: <br /> =�:{ . ._�'�`i`� :=j�°��; =.��i� <br /> rj i <br /> . . � . I� . . t��t�.—: 1; —__—:1:�.—[ii:;t:)i <br /> DESCRIPTION: <br /> p �i�::��'i ��:E <br /> 4 . _?\�i��f..��#_r i�t�'if'�.E� i4Fl��i_��_��..'?� {f{�}_!t`„'_f '.��::,.:� <br /> REMARKS: <br /> FEE SUMMARY: <br /> �y�f;I i 1 F-; i I,1_i('y ��� . i_i:,,.l 3 <br /> .=�.��:� {�-z=t_ �=:� . �_'+_! �'�IAI� .Ll� _,__._.___. �1_�s} <br /> =�E�!1'L1'"���1''��.' ___.---- �}<'��.tti�,i '��,�F.?,i l=:=�' �_`7 , •'�'•�' <br /> s�S��i s.I F�..�F E �2r,,��� �t�; <br /> CONTRACTOR: — �=?����= i ��_��. — OWNER: <br /> _.—....�'l..t-i��� f_�;���;64;�' =�r3..�,_i('��' `_:'_:;-fsfits,"•�f�_�4'`�'. _t`�i <br /> 3 ': , _�:! 1�:=�-�`�i_?-! E F�-� ��i_`�f t? :_%i�'1 �,�I IFi�� ��`l+,i 1"3n` <br /> —.;.E�����.�..�; !?�i:;;;� ����.i ���_;i�:� i;i;�f=t;�(I_# ;=;i;; �=:=f�,fT <br /> ��— — -- <br /> .._ , . :. ._ _,r•--�• � s 1r -r;� _ - �� � ,- . i �.� <br /> _ _ <br /> .. ; `b: i i:•'_ ',—`-�� � L" i.'� o' �. E i.. .t. . <br /> t�i- t.,,�,�i::.�>1f_,Y�.t'i �>�;-;�,E�'� F,���:t.��.=��"�.� �'��,��1 :._������a �,_f :�:�;t�:._.: , _ ..... . £.. ��. t ����;;_� ?�i3 s�''' <br /> �yl- ._._ .�s`" !�#.} a�k+l�? �+,i�"?�h''•=� �i�f �J't_i �iLL �i 1'a`i,�'�: �[�i w I�?��:� �_ ..{'s��"`�_.�:';�?��,;`: ��`...� i��f._'_ ':_:�, (�'�' s_�i'- <br /> r���°:_;����-; �_;i��C�ft�t�t���'; ��C= :r�T�TE iw�F ���C�i�YW�..:�";: �-,cji��'����i; � �r�;�. �.�����It��= �-...� . <br /> � � <br /> � �y�� <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />