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� PERMIT <br /> , �I�TY OF ORC�I�IO PERMIT TYPE: FLIxC�iE�Ih�#� <br /> 1335 Brown Rd. South • i P.O. Box 66 Permit Number: `•'!'�t}f� <br /> Crystal Bay, Minnesota 5�323 Date Issued: � ���=1�='�� <br /> (612) 473-7357 , <br /> SITE ADDRESS: <br /> -�=i;_:�� F'���':F�C:T AVE <br /> .�E <br /> �' . I . hJ. iC�—�. 17—'y'::��-�:�—s����s��� <br /> DESCRIPTION: <br /> �:_ ,r ,^. <br /> ' c- .I.�. 3+.;�'i i•�•_' <br /> ;r•���r�;i i. �i:t;�,�: �'I:�(T�1 t�E'�� <br /> �=1 uriii_i i;��i � ..Ti h,r.F-.� <br /> ��t��i�{t��a.fl� }'.x.'C.�l�'t:. � ;j�'��., s���-•-.11.�k"_t4�.•C_ �-e1 T T <br /> -`t- �• �4'�3i,�11'j'iw�f'�`i' 1 17ri S�"�i�_� <br /> '�.'. Wr'�TE�i �::U�'.�;::-� � j� .:,�- Er- . �. i?I���-fWi���:Fic F( <br /> �. :��P-1�=►WEFi s �� i i t..f-�t:i'�i :=��;�•i`': <br /> :: =�I LL�;t�C:k�::'_ ; �-�_s=1a�: ��{�;;i:.;.�, 1 WA'=;��iE�i <br /> i Wa�{'r R I-lEFi!�F� <br /> ,�iy � � <br /> � � A�ti� l u; + ,�'e,�ll tiN� �, �.�m <br /> � ,�x e : ��� ���l <br /> � � "�� �w � �".�, w��d ,�p �iri N <br /> �r � 3���� , <br /> i m $ � a,.: <br /> � k� �+ " <br /> y k� � <br /> I � � ,.; � _ �r{�t! �� �flill-t�V� <br /> �, <br /> � � CT�{i tv�� �}�CIL�LC <br /> �� � � � � �. I 1! F'f�T4i. Vt ! <br /> � � r <br /> i " " ��r��� �4� 9 71 i�3 t4�f��}{� <br /> ��....rrr�i�Mi,� °��;� .. . 1diJ lf <br /> �..� . .. . . . .... .V�: {TL-/Y L�rJ.�YY' <br /> � i�}+'.+�+":{}ltl3t�f'S <br /> �v <br /> REMARKS: ,V3 ��� ,� <br /> �3�i�v}��it�4 <br /> :v� �►� �.�;' <br /> �..:.. _, ._—�- <br /> �.,��s v,. <br /> FEE SUMMARY: � ;L�ii;'T—?;�lr�' Y;� <br /> +S.V�i?j /� Q�;S.t <br /> ti/i/.V; LV�/� ��1 �1t-�i} <br /> �'Gt�N �eC �#_.��, t2i1 �'�fi�� ��i ____.._-- —��,._�:t) i�'«�i'�f' <br /> � �,�`) T�{L•al FC� Y��1� .t_�{) <br /> °1u��i-:�����c --------- _��.:�a <br /> :_��i��t.��L.�3 ��c��, .:,iz <br /> CONTRACTOR: __ �,�,�,� i���,R- --- OWNER: <br /> E;Ri:1Gt��:G �'L���1hlfi�i�; <br /> •,;:�,�,:;�,;�i��.1 �.��.i:1�::ER D�s1��t�D <br /> t=����; =�Ei.���ih�i� :��TnE�� :�1 i C��nTE� C��'i <br /> � — r• wi�� r r L�����i �.���::� �'��`� �,�:��f,� <br /> s•��_.��`���,� .-''_,F�.,z 1 <br /> ��_ _ - _ - � , 1'F i F.—�E.t lt��: <br /> ') ii• i <br /> . . . _,�. � . . <br /> : �... ». <br /> ._. _.__ ____.. ._..... .. ..... .,. _�._ . �__..___...._. ..,.. . ...—. __�. �.__. . . . <br /> � r-,.: ,-.,---.: —- r- -=3—t.z' � eTl t� � i 3':i_ i'4�.=;'-jt_ 1��i":'.`- �-i' - <br /> � .,,. �• , ..__ _ - - - - - - q - - <br /> .._t_. , c-,�r i , s��.� i'�S'ix . . i�,{�-'�; �tii <br /> _� ._ , .. .,_. ._ _ <br /> » 1 i i� t.�i��€?J:.:.�ti:=I�•.�ti�i....3 � !_ais _ — — —— _ _ i. . ! _E" <br /> �t _ .�...r.�::...;_ ••, :'.r,+.� . .. . ...i F "I li•ii-3l_ _^t�:`�_��\s:. 4,},1�•` _ . .?L. ( _ _ �_. . L•G'" u!_ " ' �' 4- <br /> 4 �• •7 <br /> � ift t.i }f 3 F !-.{t� 1 { t� �.-i ���. ��i <br /> _.�r,t._-- .l.�'.L.� i-::yi . .4. ,3E...L__. f �- , . -.� ;- : r.tr _ ._ r,,•-S-;f � ' } � . <br /> - t` ?T: ;i- ;'i y l�3i`'.;: -�i�i;i-i.`v=='_7 j L_�7 14;'� �_ '�.;C: i'.�'� . •.I.E;�:._i �.=i`� I • <br /> (_ i�l�;._ii;3_i, s._�t�:1..7 i{`•1,ui�:i.;_'.-: ;-i�'��.: _ i ._. ._ _ � —� <br /> ; <br /> . • <br /> �� <br /> APPLICANUPERM�TEE SIGNATURE ISSUED BY SIGNATURE <br />