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PERMIT <br /> C�TY �F ORONO PERMIT TYPE: ;.;�..;.;;��;;:,��,_:�-,�_ <br /> 2750 Kelley Parkway- P.O. Box 66 _ __. <br /> Permit Number: _:3 i_i,�i<_:�� <br /> Crystal Bay, Minnesota 55323 _ <br /> (612) 473-7357 Date Issued: ; i�t/i �=.,'s=i_; <br /> SITE ADDRESS: <br /> -�� ,—. _:.��.__:_ �`� <br /> __ .:'�''�s•.� f <br /> .T== <br /> P� } . �ti . . ;1:`;-i i!-'r..�.:%_'.- =:i:t_.� <br /> DESCRIPTION: <br /> T' ;1-'L-''-' ';!.�. — " -I � "•€ " _ "' .y tsvr.�.�f i- I'. <br /> ._ _.. .__. �, ,:'r- I-:1;� . ..: i �_%�.r..�� [���`_ i'�r.;F:::- . t{-� , <br /> i°is�sE;��'s_ #;i_�. <br /> REMARKS: <br /> FEE SUMMARY: <br /> i.'�;{_!)'f-,'F, 1 I ��t'y �•: ; (_!t?:_1 <br /> _�:i,•�r+ i r_�+ `.k�;_ , ;_1l i ��•;;•�}t: I!;i _��___._. =i� <br /> 't..�.�.{1 �t_F..�f {=r_'+a ----�-�.ii i <br /> '_;E!1'i_('�.�,]^:��= _..____.�_ . _ . . : : <br /> _�E;[;;'F.��}T.._{j �w C C;_i <br /> +•._•_ . <br /> CONTRACTOR: — ���°�-�� �_�1�_'.� —� OWNER: <br /> - _-..��`i_���:� =��t�i:�r;° ����.=_::�°H'i =;;-i;���s����=�w::_;'}� �tr��y�.' <br /> ,� :.'.�!_�:t 1�3i�:�{�.��;} :-, yL,�i'•v1.;: �'•'_. i,.i'"i,-,�`wi- i I-'� <br /> i•j i t�;(�1�Ti_zl'�F�.�t i'�;�� _.� w _ _ !���:';=��ii i i�;��� c�,�;i=. <br /> t:r,i_, C,;�:_•Y�-_— ;�,�,_`f 4 {_}� <br /> •,-: ,u _~- - rr�-.s�:-, ._ __ �- ,. �:._� —,. � _:-.: - - - ._,_ _ <br /> ! ti,._ k_�fi,Ei:+,-,�::_; � , !y._t,�+ + -� .. �.,• �zS.~_� S-.'�'!j�.��.-• � t ;(.� �'_� '.i+'-��'=,` t..`..._ �'.`.?"}t._ �!'�i�?"�'`..�,`.'��`=3 _ <br /> _ � ��._. .___. . . .._ , ._ � _ . . . ... _ _� . <br /> _,�-`Y,t_. ; � y��i n;`.��! . .=:C.i._��_. f I_l �il_I r;�,,,�. '•�;�I_il�t;:;, ��'.i �� j�-,_7�_. � 's_.i_i�'i'-';_�:;i�!(_._.� E�1; t �- �`i�.._.. x_-1 I �`. _,[i^ <br /> .'•_1�'l._i+4�_E _}�.!S.�'.iY.�{.(�_•`•_� ;'�i\if...f «� � . . 1 �N. iy��` t:{ I .{.���._f� { i�'� � „� f I _r._S .+1 _ _�.�`'� �Z.t.... ����.., t__!°�1�':�'3.�� , <br /> LJ <br /> �.��%�YL�.���--�} /�'Y�-B <br /> APPLICANT PERMITEE SIGNATURE � ISSUED BY:SIGNATURE <br />