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� _ PERMIT <br /> ����� �F' ORONO PERMIT TYPE: <br /> 1335 Brown Rd. South • P.O. Box 66 �;k}�����,��� <br /> Permit Number. t�t��.�::i� <br /> Crystal Bay, Minnesota 55323 Date Issued: i 7� <br /> (612) 473-7357 � �`��{-��` <br /> SITE ADDRESS: <br /> :�;:��_�'� C:FiY'=�Tf�L ��AY �iD <br /> L'�V <br /> �'. I . �I. i i7—t 17—�=;-4f—�ai��t=, <br /> DESCRIPTION: <br /> �;E—F�:tE�}F/�:i'dERL�t�' <br /> E�u i 1��i i�g �'N��ri�i t� TyF�L ':�F—ADDi RE��l+y�.�E� <br /> E�E�il��i�E� ���r•k: �;���� R�—�;3��t�tF <br /> �,.: ;,� �� �,� - � �• <br /> �� ��� ` <br /> �" #. 4 <br /> ��' ;� ,"�, � <br /> REMARKS: <br /> FEE SUMMARY: <br /> VA!t J�T�i i1� ���, •�i as� <br /> E�sc ��e ��4 . Cyi� <br /> '_��dt'Ch�t'�� _______ _��.�i C� <br /> ��=�t•cI�. �C t �i�-i ri, �.�� i.i�i� f r i.i�i��iF <br /> �1���'�ti�t��E ;��F:�� y <br /> a�i�i v{i}vv{i ir <br /> vi iri�-�i ��i.Vv <br /> i i�c:_�{%v VijiT � <br /> .UI ��# �.;�' <br /> ���4F;��'�' . TL �jA ,`�j�.�� <br /> l�LVL.lf r�(�j�li!'�l}t�t�j /L�V ( (�}[ <br /> r¢i�lLST�?V L�Ytif�.�l 11{!t� !Vdj�V�F! <br /> V 1�l�L%Fi <br /> CONTRACTOR: — AF�F=I icaz-�t. — OWNER: <br /> �iE:;I�Fh1T I AL '=�F'EC:I ALT I E'=: �:�i 1��i>�=��=:E.�� HACEF�M�N E:��EF: <br /> 7.�.�.�.i: �+ELA�,I'=� Lt� =:?i}'� ��'Y'�7t�L E�AY F'� <br /> h'!A�'LE �;�;�=�VE MI� ��_;�. � ���F�f:�r�l�_� hfh! 5�:�'�1 <br /> �:t�,1�.;':r d.�:i y—r�c=r,'� � �:��1�.:'_i�.71-714 S <br /> � <br /> __ __- --- _ _ --___ __ ___ . _. - - — ._---— -_ _ ____--- - ___--— -_. .---------------- ___ -_____-------1 <br /> � <br /> l'I-,� t 3�i�EF°'=�I G�lEC� hE�`�E:;`Y �=iE:€�?!_sE:�;j��� F'E�:t+1 T�,::��I f��P� Tz�a !`��t�;E THE F;EAL I t'SF'ri����lEt�Et�l�"�=� <br /> � '��3='E�.�I F i�i�T At�iD �s.��;�.�'_� T��� G�J t�L� ��;��t:: I td '=�T�:I��T i::�=it1l='}._I�N!�:E W I TH �i� C�I T1( �11= <br /> +":��;�_���#i�; E_f�{C.j�.?�1��I���'.•.� ���4C; �_,f f��E: ��►� �I I��!'����a:?T� E;t i I�Cj I f�IC� �::f_+C�E R�t���I F;Etf!Et�T`�� . <br /> L � <br /> 1 <br /> � C� <br /> � ./1'�-.�iv <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ��(�c/ <br />