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PERMIT <br /> 4 CI�Y OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 �:,t i�i I.._C,�t°�i; <br /> Crystal Bay, Minnesota 55323 Permit Number: i�j S s;�i� <br /> (612)473-7357 Date Issued: �,���;;���::;j:�;_; <br /> SITE ADDRESS: <br /> 1:���:� �`��°�:: �`jt� <br /> i�� <br /> s=' ± .�`� . i (:��—1 3- �`'�;—J.�--i_ii=�i�:i) <br /> DESCRIPTION: <br /> �`r�t:t��: �°Er`!_€.:��:�:F��.iv:T <br /> i���t 1 ���3 il°� �=`��t"C!i 3.�• i Y��N _;;—�={�'i�+�;�`�t•,t_i�i�L <br /> i-�l a 7. �s`r 3,�1:1 is;l�_t tz f:; t y��u� �,i�i:�:, <br /> �_�'ll:s'.�� �:s is�� �:�t� c-i%_� . ;i`�,-`_�!i_'+`_{�I 1f-1L.. <br /> I <br /> REMARKS: <br /> FEE SUMMARY: <br /> �f�i_!:t:�i i:'ti�� �.��, :;,-`- <br /> ����� F�� �i�'�` . — ... <br /> ?�'l�;�� �F.��i�.s� �::.::. �;.:: <br /> °_��,y,�ri�.�+r�r= ______ ��—�'=�; <br /> �';���.�l. �:�� ������� . . _ <br /> CONTRACTOR: OWNER: ` =��°�°1 i c��-�:. — <br /> ','�_��1i�:� ..►�=+�-li�! <br /> !:_�F,L; ,�r'{-3i`}-:. �ii-ti; I <br /> !��'t;i_l�i:{_► #•=iR� C i_:{,�a"� <br /> �":��.L%�ji� I <br /> r r .,-- e:-�.—a—.—, r-.:,z,«. :.a-� r+i—i i �—.—:. y.� �� .. . _ ...� .. .�,' _ <br /> y t �,,,•i.. , :_ � r _ _ ..L ..{. �"_�; �:i'�'!�;=i�I� <br /> � t-(� �f��#'•.'t.h:�r��.3!s�� #i��.t:C�Y ':'__'-`•`.t'__._'s'�:� , :�i•'.i�i T`=�:��;�1�`J ..._ �� ..! i !�_.._:':� t t"'t-'j�: t`,;==�� :,_.1 ( `-� <br /> :_�l�-'�.�.�� { �I} H��;�;4�,! i-jlW��`�Y`.�. �{_i �3#I :�;L.3 L, _i`.-c.�'•. _��i �_. l ._ r � i_`•.._(.. ._� s,'-;!`y'•._•�. �,1 f 1 ="' __ (.'1 �"'s i_€h I <br /> L i��i[_sf�i_i !_t`t�f1«..�� .�_�___ r�.�.1 �� ;�;�;si� #�s�' i`.1! .# .f�`�:i's����; _ _�i[ i;�. .: _.-_f;.°._ ''+_;�';_'��`.`!°i`it��+ °_ . <br /> � <br /> V ' <br /> APPLICANTiPERMITEE SIGN TURE ISSUED BY:SIGNATURE <br />