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PERMIT <br /> CITY OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 Permit Number: • <br /> Crystal Bay, Minnesota 55323 Date Issued: <br /> (612) 473-7357 <br /> SITE ADDRESS: <br /> - . 5 <br /> DESCRIPTION: <br /> CI; T. <br /> 3.1,52I-(:)000 <br /> :111LN <br /> • <br /> J3e'. 170 <br /> REMARKS: <br /> FEE SUMMARY: <br /> 3 - <br /> CONTRACTOR: OWNER: - •• :, . . <br /> •i <br /> JNOERSIGNE:0 REQES :: S F",Y_RMIS'SI'TJN TO :MF,ROVEMENS <br /> SPECIPIED AND AGREES '10 ILL WAV IN CAT: ::1 C;TIMPLIANCE <br /> IT! DINNCES 0 SIATE OF MINNESOrA euiLoN3 CODE 17, -:.:QUIREMENTS . <br /> C1;16t12 Xiee ((A-21,2,n (--etci) <br /> APPLICANT,PERMITEE SIGNATURE ISSUED BY SIGNATURE <br />