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� <br /> PERMIT <br /> t�ITY�F ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 `'�"i-�'������i�:ni <br /> Permit Number: ;_{��;��� <br /> Crystal Bay, Minnesota 55323 _ _ <br /> (612) 473-7357 Date Issued: i;::i-�-i�j;�; <br /> SITE ADDRESS: <br /> 1'��7 C:N��'� �:�-i�:��� C�� <br /> .�i; <br /> F' .�I . �. ' :=,r�.—� = _.—�_—�.#—t:�tri _�; <br /> DESCRIPTION: <br /> �. �-;E_�-14_s .I•�i; �:`��:;i;�ti_; F!�:�; C°��T�f`°�'ii.. i.��:=� �i;��:;� E�F;`�;fi�?' <br /> �1E_E�';-�.. w'���_jt=�,'=���i�)r,i f i:�`i:� I=it�TE'i i F '�'r� , ;:ii:ii�i <br /> j t,fL''t l;` 1:`'i�i: i i;�i�� <br /> 1 �I=�° i��Et�iU I T I 1��i��I�ai� t1�t�:::�= ���:'v t=il�T i�3.�i}�L �r�1��:f;�{=s�.:�; <br /> t i��t�:_, t� <br /> REMARKS: <br /> FEE SUMMARY: <br /> ��r�;_t.=��T I�=3��i �11 ; �_����=� <br /> , _ _ . _. _ <br /> i�-��=i^ �F�? �•�_;�i , ��f„1 �'"f�1�.. ��� �7 '—�f J <br /> {.� . i 7 --------_.��,+,�:�s <br /> ������?..11��.t�°��"' _....._....._�. _i�.w '..; ,.+..i,ii.^ I �NY+ ����t# . .�I_j <br /> ! <br /> '._�Ir(:_�'�.;�FT.,y i � Y�t�:_�jf al! <br /> CONTRACTOR: — ��F���l :��;�ff- — OWNER: <br /> �1t 1;�'iv�=�'�'I��E �-�`�l I��ti C:i_t ='���'�i�.i�+i;it_i� i �i:Y� t�s�=��`.=;'j�;°;��:�T f i ii�i <br /> ���'_'� �����'L.%L_ ���'l..��'2�}Kt� ?"'f 4r ��� l [���Y��:: / F_�'��.L' � <br /> ��!-._ � t. !f'T JL_ E..� <br /> ��f 1��'���� ��i� �.�:=. _ !i;;;!i�ui i �°�9� .��_;`��, <br /> t,t.i�_` : -��l;t—�{_::,,i�}� '-:::.i ..�s.-�'�L�.'�,;`1 <br /> iW �. �; . � :--� -_ .-. - -- ��`- i_ "' ''i''�'•'�: <br /> `�;`!�. ;�(tii�SE�.�;j��jv�}� ���t�`.��=7' ��'��_�`_..��__� ;`_ �`?��-�:I 1 I��.-<<=s�y `i i i ��it�=t��,.�= Tt-f:= �::%:'ai F, „;;�_.v'�i�i��` . � <br /> —�t"`�.t'�::i— 3 t==,i F.� .�.•`• �';;i�-;'-,L`� ! t_I !j._1 }�}_�_ fL+:'�_��l'i�•. �i�� �� . : '�•t _:i_tt'F-'�,.�'-t _��'_ . ��� . .�._�.. f s ! �� �„!� <br /> � t (j�`i_i,�l_t 1 4;-!'f=��t-it�i:���� �ii`Qi1 r�..�.�.�� �Mj� E'i z�ia��[��W�t_F;}� l,_��;��I+t���� �_#_��i` i i�`•.t�'��1.`'.`.i������;F:� , � <br /> .��i��yU^i`�' /� � <br /> � <br /> APPLICANT'PERMITEE SIGNATURE � ISSUED BY:SIGNATURE <br />