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PERMIT <br /> ,CdTI� C�F ORONO PERMIT TYPE: - <br /> i-;;.i��;i�,F°fi� <br /> 2750 Kelley Parkway- P.O. Box 66 = <br /> Crystal Bay, Minnesota 55323 Permit Number: ;i; i s"i�.;pi <br /> (612) 473-7357 <br /> Date Issued: t,��;,���:,;:��;;; <br /> SITE ADDRESS: <br /> _.�_�i_! ��I f�-{�t}'.,� �`� .�-.� �" � <br /> 'i� <br /> !-' . T . }� . . i�i:�:-1 j.7—�_r:—:�.�.—i::i i;�i7 <br /> DESCRIPTION: <br /> �;°��`; .-;i; C)�;_:�;.:W; ?, �`�;_.i?�':� <br /> ��E�E]. L j.�l.tls� !''-'�'1'I't's 7.C• i*(_'•= '•�,i'_t-�','�a�I`''.`!'�[J(1�t�� <br /> ��I�j �ii�1`i+� �?�=�i'�:: �VC�r� �`.�,�v�.<i;iF-� t `:�:�.F'�f_li1{-1 <br /> i_1�,.(�: l�,f��i+1�C�.�.Ti�`{ i"(".: <br /> T.i�i j��'Y.{��i S_'_.�i�i i: :y��f�_ ;.?r�i <br /> �.����'7.li'� s-?��-��_ <br /> t-:�z�•���� [;������:� :i.:=,.�'..t �1L.f . �°�`•.�I4.1`i��1�''t:.. <br /> REMARKS: <br /> �:��'E�:�T� :�1�t�T� ���w��:T�°I{=�=ti._ �'��°�t;T �-��{;ti��i:�it <br /> FEE SUMMARY: <br /> L�h�il�i�'�,i���;i . �;, t;t�t'r <br /> _;.a�a ;�� �L 4'� . := <br /> i:'3 �:i i:=};;,���::�� �`_+: , _ts�. <br /> • �' i <br /> '.;;�{t'i�l-tr�1''?r? ______ _�.y.y.�s. <br /> '7' { ��_� <br /> ! F�f{,..i.E ��i,��+ �i�i�.L . � <br /> CONTRACTOF�: — �';���_�3 =�%�!Ff. — :�:T . -..�;= .OWNER: <br /> T�t._ �_�'"�.i�'.4—L��I P GI't`._� i_il�',(`�;� i_f_ i.y.;,;:.y?s= E ii_it.i:;�� i{�-};_�i`�Y l:t#-3`.�i s i <br /> 'f �i,:!: i:i_{i i;�,; 3''�` �:i.? i`'� __._7S_i �;I�i�-siJ'._� �'T �=i::� <br /> ;.�1_f:_1Eu{1 S'�#� `��_i;=..�. i�i;ii,i#'=,�iWl I�;i�; �.�,:����!j, <br /> : G ilf`1 -w-r r� <br /> (.- _ -',7 s:Jr,� _�/+S _ _ ' 1 f •�. <br /> . ...� ..� - tir� �� #i i�{:. :'""' '"e j�� �i„�i.� ii�?`��"ti�{`y'F�i°i'wf���{N_ <br /> E t-��� �_ii��}:;s;��,°�:i�,�isr�%} �-i:�;�`r:�:�,' �°iw:Yt,ir°_;j�°^; , i;s�,, :a:_ _�i:"i��i '; ._ ;;;�..%� � . ._ . ._ . � . <br /> '�"''.`.E�_. .��'._. �.�._ . ._. .__�`= I I #1�_: ri4_l,,., uE ! i., ���t } "-tr �. ( t.i_c� s-i_i T} _,. i,+!! ;i..� ��i_I_ #.,'.�� 'u s_��.: <br /> `. �. � I ; — ' ll --�— ,r}4:�:Y� M� � � i` 4_I�— 1°'��t!:{1=•`�t_} } i:a `ii,:��':,�}�;`:it3 ?_;F_if_�?: i•;��k:.'T�.,.L�.�3"���h I ��� . <br /> � j„I;-c`{_I`•i�_I 7_�Ys'1 F i{V;-il�•.T�=�_� J <br /> (` l,,e�C.ti ` ����,��-�7 <br /> APPLICANT'PERMITEE SIGN TURE ISSUED BY:SIGNATURE <br />