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PERMIT <br /> � �G�Y OF ORON�3 t PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 �°��-;t:�-;�;;�: t:,:,i_ <br /> Crystal Bay, Minnesota 55323 Permit Number: �.;�t.;:;i�� <br /> (612)473-7357 Date Issued: E}�f��!_;f•,�;`; <br /> SITE ADDRESS: <br /> :�:;=_# ��{�in i#� r=��°i i �.��; <br /> �i_� <br /> �' . I . ('d . . ;:�i—j : t`—'=:w:—�.j._.i:it ic:;� <br /> DESCRIPTION: <br /> ��:;i�:�t_!�v �"T�;�3�'1 r�f:� <br /> i W�W►i��ia '��T������i r=L�J� t•���r�::E i�fr�.�i�°W;T I i� `�;F-i�.��: t��=��E= '=�t-i�.��.' <br /> REMARKS: <br /> FEE SUMMARY: <br /> `�':;L._ti:�T�,t�it;� �� , iit)ii <br /> �'L.''..}'_ �NY+ �e.,e._S , i�S�.t I�;i"�Y� ��V �.�...._��_ _S.i.a.�'�,1 <br /> �:�I.rtt'��9�'_'�'.1���� _.___..___..___S_a.s:a.� �Iwt I.Ct�. s`}a}� �}_i,7 ,{_}!s <br /> '=�i�i�s�.f�{..=,1 �:��= , =�:' <br /> CONTRACTOR: — ►;���_� ; ���,t. — OWNER: <br /> F i���=`��::� t_�C4 i+F�° _��..�,:_,?�_=�;� �,s E;.}I'Yr i�tyt�r=? €�f����i�°_ <br /> ���.F,(7 �����_�'a � F� F;�i:i.; 1� ;�, r�����;:��: f.��r� �,�; <br /> (�;j i�iv�i E����1���.�1 ���� c c_ii i.�, 's 1:�'i�'+i�+�E �1t� ���='```�. <br /> t r=,i :-''� � ,c_::-���-� <br /> �}-�t� �_}�.#[3E-l=t"w;�ti�w�{'s '.�—�',i-�;`t�:`;' `i9-.i;'#is-.'..���`._: . _.`':r'i { `.W�:;�; I i��;°,f �:e,i :'�f�F�:.,: :`t', �';F-,%.�;�_ ({';}"```.�.ly='`.�''i�',F;:!`.�: <br /> '•_�!=`i��_����!! �r��' ;3�.�;'k`.��.�� !'=i _ ;'t�_f i;�€:�;t�:. �='u = . . .?�� . '_�_: .. �_�f-�!�t_�� �?!�� :-�;_; _ _ I `1' •��` <br /> L f�1�'k�i�'*.fi�t i_i{�i#�13 TVf:�:'.ft_.�'._: ��.31 J '�_��—: � r.�'... �_.�Cr" �'?_� .f _..��i�t(�.�: �t'_���.._ _.",vi� i:��'s�:� t;;:=;.?!„1 1 t-ti;s=I'���W i '.-� , �I <br /> `� < i � �J <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />