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� <br /> P�RMIT <br /> GITY�F ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 _ <br /> Crystal Bay, Minnesota 55323 Permit Number: <br /> (612) 473-7357 Date Issued: <br /> SITE ADDRESS: <br /> T::_; t:;.iL��.1 y i:_;�-i;.:�`:::i:: _. . <br /> :;ij <br /> DESCRIPTION: <br /> : :- -::; :�.;.; - <br /> ..._. . . _ _<<� <br /> �_: _. - _:-_::-:;; � - � � <br /> _ .. . . . . ... _ . . , ._ ,.,_f�i,�'.1 f'i �i_i-,'r.=a'��iy�:.` <br /> REMARKS: <br /> FEE SUMMARY: <br /> ___.___...._......�-- - - <br /> . _:�.�_:�. �_�--__ - - :'-: <br /> CONTRACTOR: ;, _,; ; ;� OWNER: <br /> . - ; ;..,. - - - - _ _ <br /> , -�� . <br /> ... : . _.:..� , : . .." ' i'��(: i. _, '..'.��_ 3 " � . <br /> �i7':' � .... ..�..,': <br /> :., � ' � . <br /> -. .. . . .. . .. .-..z _ .. . _ " " ' '. _. _. ... .. .. ._ _ <br /> � t `� <br /> _ _. . _ .j�_ .... ' .' _� . . .._ .,. ._ i_?"i�.:c'Y _3F�iC��'. }��'+. <br /> ' ' _ ''}..� rr��•.° C.i.. ' ' "'Fi _ _ � <br /> _.:. , _ . . .. . . . . . <br /> T :: <br /> • <br /> � , - . .... " --. <br /> - �.{- ;... . . t f � f . 1 i��'S � .�T- 4. ' _..' �. <br /> z- -r r <br /> C.x: . . ... . : . � ; . . .: ., _ _ . . , _ <br /> _. 5 ,W ._, ...:� _ 1 '..' . .. 4i. _ .. . , .i=_ : . _ r't '� 2i <br /> , . -s� � _ �i <br /> �-_. 1... . i F '�� n,;}. �.. _ . � _ -, . ,. . . .. <br /> � —., :: � �i7� Id,, . r-,:.. _ , i � -�1 <br /> . ; .F . . L <br /> ' ; <br /> I . _ . . . _.' �:_ �_,.. ... �.:. � . �.s , . .,. - - � <br /> I— <br /> "� f�//�2 u�.-� �-C'.� �� <br /> APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATUFi <br />