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PERMIT <br /> CtTY C�F ORONO PERMIT TYPE: :_ �; <br /> 2750 Kelley Parkway- P.O. Box 66 `�`` � `�'� = <br /> Crystal Bay, Minnesota 55323 Permit Number: i;i t�s°;+i�,i,; <br /> (612) 473-7357 Date Issued: � i :';;°,�;� - <br /> SITE ADDRESS: <br /> I <br /> , ;: <br /> _, _ <br /> �� . <br /> - ----- ____ _-- ------ --- -- ---------- ---- - <br /> DESCRIPTION: <br /> �::I1"�_:�-'j`�:jI��I:��;��?��;�::: �;:; <br /> `��.�i1 �.�=]�1��� i''�i'fil's�• �;r`#�4+ :=� rl��'�. <br /> �;��ilk�it�=� �_�•�'�: �'�y�-,� �',i:- --- <br /> ,���: :��������L=.�;��.�,� ,�°... <br /> , _.t��]�Y,.'�.}'�Ii'.3�i;"i. � ; :'�F= '�. <br /> � ,�t�,51'!S S t!'� �Yj�• <br /> II <br /> REMARKS: T^ � ` <br /> FEE SUMMARY: <br /> _t;i� --._.. y`7 ti y4 ��' .:. __._ . _. . <br /> .,i_ _ ':i C;" <br /> CONTRACTOR: - ��=���_ ��_-��1_ - OWNER: <br /> .'L.;'"_:! _ • i� #j .1,.' 3L!S-: _ii_,f { %y= !�t;i4ti1.: <br /> I -__.r,_ _ t�.t_i�,j_�Tj;`E_:�=t��.`r� 1`. 1.I�. _ _ `_ _ _ - _ _ tr� _ _ i <br /> :': y �-���{,j���;1i it_t�i �-il t �.�f_�:i ' �t:' . � F`� j,.� <br /> i�i1.:�•;,-•,��i-7 f�'��' _ ^ __ _ S�y;i_fi:�i_� f�t�t 'C�'Y:F=rx;. <br /> i ' ;4'_- " " �"" _.C"��_� <br /> F� — i{; 4 i�__ _�i•_ <br /> I _.._ . . _ . _ _ _ <br /> ^ ' ' <br /> _ - ,-.:-- <br /> '(" .�° i i�'d! �'",: (. "'=1-� _ °�" �.�:,. ,��—�f;}s„ Z :-, r-' �S'�'�� _�:T i��'t( 't_s �i-�. ..._ I�t-i� �? ... . _ s f � .'•_� �_€ ._,+# a � <br /> ._ �:� .._�..t'i•_ 1 .1�'d_.. a#�i�.._s..�1' r .�.s,s_�_ . _ . �., . s <br /> � -t' t:• _:��` T '` `'' ,: ;— __._�; ��i^! i#t�[ � � +! t�i ". �iy -;��i'�t'� {:{ytP`'; _ 4 ,l �;. .s,.f -, r�;E%..F i t M . i�l� <br /> ,_� _}- �� : �-y��,#} � t [;�' . . _ s __ . ` <br /> � 1 - - -� ._ ... _, ,_ , ,m - - —,._ ._ <br /> ` �;.f``._�t .__� i._h'...:t t i�t-�lf'�I>�i-_ ;�?;�¢�:,,t '_=f�i� f_3f'" i`1�#�����_5_4 1't� ..�{_'1 l__:.. ._. .� L S�#}�� ;i��f_ f P`.`�`��,�z � �'_. <br /> �` � <br /> �.� �('r'�.—G��j'� _ <br /> APPLICAN ! RMITEE SIGNATURE ISSUED BY:SIGNATURE <br />