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,, PERMIT <br /> �'�TY �F ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 �;t_l;;_;i T;.�ii <br /> Crystal Bay, Minnesota 55323 Permit Number: �:;�a,y,.,iR�^., <br /> (612) 473-7357 Date Issued: <br /> �{�}/=!i J'=t i=, <br /> SiTE ADDRESS: <br /> '�'�i 7 °�;��ifi::�€ I[v� 4C=�, <br /> :T�; <br /> F' . ? . h�i . _ �`i r—�. �.7_-�:.:—:�-=—i rz_�����. <br /> DESCRIPTION: <br /> �,f�i ��ii�-�� �'�i�rr�i t• t yF�� '=�'--��?�rt�f/�;��#:�C�EL <br /> ��u i 1��i n=a �1���,�: T y��� �El���i;r;TE i�EM+��E�EL <br /> t 1�;�:: �:jr c�.dF��taif� y �—:=; <br /> �:{,t-t�t.�-;�r t.is�n 7v��� V!�! <br /> 4:�r�"j�f�ES (;,:i i�i�:_ ����� ��,_� . Fl�:���.�7���I��.��_ <br /> REMARKS: <br /> FEE SUMMARY: <br /> �, t;.;-�-T:��; �; �� ;-„�; <br /> � L.:.- . , ... �:: , .. s <br /> ���e ��� �1 L��� . ... - <br /> •:�#..�!l'��"'t ci t'=�H' _��._.::::"_: <br /> _,-. . _ <br /> -------_ <br /> , f _ , , ,-._; <br /> CONTRACTOR: — ;����1 i c���t� — '=�T . i_I�=: OWNER: <br /> L.F:��'=.t:rt�f ti�.��?E:=� t+�T�:::{'; T�.it': �,,�7 s�:��1 �= ;t��:=;�. . �,,, <br /> __ _ . L_�a�:=C. <br /> �.1��:? �=;H���hE!i t��� Di�; �s� ^..�;_,�:t�; ;- - <br /> � ��_, .._�_��_�_�: <br /> '�:F'C��C; F'�-�h'F:: #�i�� ��;::::-;�. ��:���;�t��� �'��4i�: t:t�: - _ _ .. <br /> i:r;1':�? �.if--:,:=__'i;=: �7i = _.._.-. <br /> --� <br /> 3..i . � !i ':L.� _ t 4 L-: A..'L L�''e.. i{ iL�_:!�'_ L_� tiii�,��.:.. .. �� <br /> �. � �, . :._: ��ii . . : —' _ c � .� " <br /> :. __ ._. , .F � � t.-._'...._. �. ��E'.,,,�' 1 :-�- :l�if4 . ... ± i. .. ._.. ^�"iE.� l'.i-. .__ 'if;i-.��!�`;'u�'"�si_ :i�'�t <br /> � _ . � - . , , s ; � <br /> i ,r _�:`.. ' .0_ !-. �._._. .�.._ . . . . . . �. , , . . ,_,.•., �`� ... . . . .. <br /> .__ 1-i' �.� . _ . . _ _ _ . . <br /> ,-.:-_:--,:i r� t � "`",'•r iM'� 'i"'s i i�'"t :-�,:_ :f;� ' ' , � �� 4'W: +1 __.:��1'=;_.. � i '-� --.____ t'.� , i;��= <br /> w<i'~ _ . f� I?`� ;-�1�?..: #�i!.3i __ J!_ '"I !� !� _.�'.i''•. ?'ti �� � �'':a.E °�_ }�` ''� ir} i y i <br /> t"'t� 'T t:� c� �"y_:'y i . i . �", i €'.__ } . _.. � f <br /> i�ii�t'9_:f',fi E �Fi�?i�'vtt(°.i{,:� _ �1,�`'.(�) , :1T� � i_.[�-' ; g I�:I�'`�i�_..:a_: � f� "—�[_•�:.t f�:,`'uin £;�,lE_:�- {�-.';�;�ri,.i,�';,'�:..f �.t �_ <br /> L . . _. _. . . _. _ . _� <br /> � <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />