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PERMIT <br /> ' C'irfY �F ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 <br /> Crystal Bay, Minnesota 55323 Permit Number: _.;;,.;;: „-,F,:�;; <br /> (612)473-7357 Date Issued: i:� ;;�;��; <br /> SITE ADDRESS: <br /> i �;i` ;�:-?�.���r-t{�_ i�tl�, <br /> "� f � ' —'lYi i i 3 ' <br /> DESCRIPTION: <br /> -�L;,t;;-:�_:�;�°��'�:;t_��= I <br /> =_�}.L t;,'zl31�.7 �`.�?'��fi 7.r.��;-``= `y��--3-�?;i�`�,,'. =i`if 4l,{`t._ I <br /> ,_�_J� ;:"i 7,i:�:J a;�i�i'�:. �'�'t.: �a`i-.—�'c'I_l� l�-s <br /> R E IY!H fl�a.�, __. ._..._ .. _- — -- ---- - --- -_ ..__.—.�.,— ------ — <br /> _.. _ . _. .__.__...-�--�----�---'---�-------- <br /> FEE SUMMARYi i <br /> `'i.-F'�}Y — �•. .. <br /> :�i �~�' iZ '�.I'r — ' ' <br /> CONTRACTOR: , OWNER: <br /> - ��_,�� _}_:����. - �.T . __�;=: <br /> . ._.._�._. ����::_�_��. �.:�:-�i;°j i�,s;'_<< '_s�._,� _ '?'' :`i::t:'�:�;�i.� =; _ _;�;'-. . . .- ...�. <br /> _ ._j,�al__ :-�i i t� i.`'!_�:: ty`i=4`.�l�f=�i.���. W+�c' <br /> � �--,-- - - - - - - - - <br /> _ " - :��; �i.i(.� _ :i <br /> �.�� . � , . , _ <br /> . � _ . .....: :� .:s.a <br /> ;,_��:. <br /> r�W_•_ . _ . .__.. - - - - - - . ._. ._ _. .. _ _ .. <br /> � ._ . -_ ._ -�� . . ' _ . _ . <br /> _.. _ ,- _ . _ ._ _ _ . _ <br /> . . 'a... . 7r '3 i�� Fee:.:¢�� � .� �9� r.. <br /> 9�".». i : ' __E' _r {"F.L.�.. _��':._,_. . t' _. .. _ �. . _ �" ._ ..�_ ". _ _ . . . ! �_ •.r . T.... "rtr,i-'�: ... . ,_. . __� ._.2 : IVi= <br /> .. »,_.� _ ' - <br /> •="�;:_:� ; ;_ ,�_; { - � . s", �� ,. � � ' t`;" �;x • ___ <br /> _�`"�_�..�M; = s ��..t�._' ;_,_. ----- �. , ' '_f _1_ yi ._., `•.. ;`•� �� 1; .. 3.� ��T. , j�.:, <br /> L r;= r._� . .._ < : =�..�.� . .u:}_� _ : �--. . _�, `-` . '.! -�- - . . . _ _ _�_. _ _ _ __. _ f ` m.. , ,.. ._ . .__. . . _ . J <br /> F_ <br /> , i <br /> � � �����, <br /> APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />