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PERMIT <br /> CGT,Y OF ORONO PERMIT TYPE: <br /> ` 2750 Kelley Parkway- P.O. Box 66 =;�=�;;�.�r l.";� ��, :�?�";;'�:i-, <br /> Crystal Bay, Minnesota 55323 Permit Number: ;_!� ���},__� , <br /> (612) 473-7357 Date Issued: ;^��r�_!�,f.,�,`l <br /> SITE ADDRESS: �8� <br /> _ . , _ .. <br /> .,_,.._,:.:. ., ..;_ � <br /> �.__��:� oo�� <br /> - . . ...; �.,,_ �-_ , � .. <br /> :.: ; :.., :-:_:°- <br /> , ,: . :, _ : ; ,__., <br /> -;--�-�-�---� <br /> DESCRIPTION: <br /> �`:��r; _, _:"�us�w:�_-i t��;.i <br /> �i_+ldr�i�(' �f �.x�.�{.3�°j� `�f,^1'(ii 7 f. 3 ���f� _`._ba!'�{i �_'.«�1�4[���.: i 1��i��l <br /> � i f. S,i, � y .� � �.' <br /> T�F���F?i' i•} .�i_i ;.�?i� W�,�i: L:, � i.��i-? �,'�_" ��i �,�%�i#l,.y,_ <br /> REMARKS: <br /> FEE SUMMARY: <br /> ��=:� <br /> y=�#:1�' �—�+;.'' . _ _ . �_�t�_} <br /> :—�f!)'i�"'�;]'iri: �._�....._._..._ r,i; <br /> +'i���._:1 F`r,F' . �:c'°�- - <br /> CONTRACTOR: _ ��,�,� ��.�,;;T. _ OWNER: <br /> .:__-.__-, i:`'.i= _ - . . = :'`_.:= -. �;�i�i�; <br /> �-� _ii�;;� ,V j '=1 _._-;t_? {�I!�i;i f7 =;!'"?E_i�'.� _'i i <br /> � L•eT�'ii_i�y—ii_•1`_`•_• Erii:� �.ii'_:-L � it,i�iitv�_! r e�'� �i'.'.�,�'1 <br /> '.E.f�.._. i.iS i�'��i��":��_! <br /> T�� �.#NC3�F�:�:�;t�;��� ���f�E�r'� :�.� _,_:...:.. . __ �'��+`��:�:��i�+� Tt�� r1i���:� ��'�._. ;-��t":�_. 3.. : ._:�}::L;���4#.� <br /> ':��`�.sw I F I EG �t�L AG�:��:�� _"� _ . ���+,_��_ �+ � '��:: 3 i�� ���1"�;i t�:T' t�:;=fi 1�=`�_I��.�w�a { . � . _ �;Y ��� ` <br /> s:En,'[ I"I �i i} t`" ;:� _ _ . . .�.. . `=��� ; y��, �`''` `' L:__. __. . . _ . <br /> L '-'`�_ _.��"._ ��`v�t��_�'t� I`��1 _ . , _.. ,�_,#�_f 6���`,, �I3 i�..�1��` � C:_5�.:`_ . ._.�_; _ _ � <br /> �,'/ � V (�j�j .,�t.cJ <br /> �IPPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />