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_ PERMIT <br /> G�ITV' �F ORONO PERMIT TYPE: <br /> �-�t_:T__�;2`;�i; <br /> 2750 Kelley Parkway- P.O. Box 66 Permit Number: i i 1 i_{�{i�,°� <br /> � Crystal Bay, Minnesota 55323 _ _ <br /> (612) 473-7357 Date Issued: �-;�,,r{;�f•��;;_; <br /> SITE ADDRESS: <br /> M��.i:=, �=h°'r'`�=T�i_ s'L <br /> _�� ' <br /> L' � , f4 . . 1 �—i 1 7—�__:--4:��--i:ii;i i�: <br /> DESCRIPTION: <br /> �;t�= 7��1=�'��: �'F�;'Piflt. i ,r�:��� '—:i--€.;[i[i;`�`s3fi�,e�l <br /> s:.�}..1]. �Es 1 il'� ':4�F�3'�: E Y='� �'•�1=i�`•_�i�i-i ��...:'i i�.�•�'s�ti?t,i„ <br /> '{^ {��;. y 'f i <br /> �.'r_i J_:.�L^: :;i�ii�N �.p�i�i,. �'+� i . !`.L._i i �7i_:�� } S�"74�.. <br /> REMARKS: I <br /> FEE SUMMARY: <br /> �y t;i 1(�"�j i�i��! �c�., i_+i?i:s <br /> ����._ i-}�'r+ ^��;i , '_.'i <br /> '._�i s��w�""€�s�=�s.- --_____ ,.F��';= t¢)�ai <br /> { i�i t.r_-�i,� '"F i=� ^3,..r•'�y,,.,L; <br /> CONTRACTOR: OWJ���.i.. — �"�'�''� �'r=`''�. — <br /> �,��t_,_ , L�if;I <br /> ��1�.•': __`�'����4�—i� ;"'�i... <br /> i�ij=�!I��i! r°1C•�I ��_`__�1 <br /> .tt-`i —Ci�.�.�' <br /> �}�;— :!�!i����`�,i+,j;�!`S 1 #�?�i'•'.``;'� s�'.=.,`._:;t.,'?:'=�I`•�= i`�`.=��'.�'�i�=��=�!=_�=.W ��f E+ji:��:.� i �i�' i i��!. �I'I��ii t_�41��'�Y.y�� E �_� <br /> �+''—:_'i�' a_7 1 i,^7F-i. .�..L._' �7 3 k� F S.ii�� : `e '� �'v 1 i:Fi._.. � �'e <br /> .���-6�..�t- �:__ t..,i�i :-'iS_iI"1L.L_._� , �_E �3._I G=i:.�1_ ..�_ �.���. .L i�� ��I�i�i. � i_:i_i_1!-`__ i �i,,.�.i_ i1 s i �'� `r�?'_�,. �;� 1�`�' 1_i: <br /> f„,i�—.6_Ii+iE_} i�i�'i'j ryt-ii�:=_�_ .-�i�'_' _= i H:��—. ;�i` ;•1 s�'�!'�!�'��'_�1;�i L;�_•j,I_I i j,�v{; s_" 1�_'� �'.._�z'�'¢i�`.��'?:��t r� . <br /> � J <br /> n " ` � <br /> APPLICANT�PERMITEE SIGNATURE � , ISSUED BY:SIGNATURE , <br />