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PERMIT <br /> CIT�F ORONO <br /> 2750 Kelley Parkway- P.O. Box 66 PERMIT TYPE: �:,L;;�_�f�;:,;� <br /> Permit Number: ��1�_����:t�. <br /> Crystal Bay, Minnesota 55323 --� ;-,� • - <br /> (612) 473-7357 Date Issued: �_}� , a:..�!�_���� <br /> SITE ADDRESS: <br /> i 7�.:� °=�;-i;=���y i�,i,�i ii� ��;� <br /> ��.T <br /> �-` . � . E�I. , i:-f i 7-'_`:�'•-;,_'1-i�ii;?;=`i) <br /> DESCRIPTION: <br /> f��,�f �y:�«��° ��=���t�E <br /> �:��i ���I i�'� {'`?�'t'fti 1�• i���'r,= =�^�`s'`HE�fJ!�i��'���1_tl�� <br /> }�:I J 1 1��=1 t v �I;tf i'�:; I V��s, il L 3'�l�I y3'-j i c f�.`i!�_f{7�� <br /> i_�t-�s��� t,;�,��,� .�.__� ��T . �E'��iC��t�ITI�3=_ <br /> REMARKS: <br /> FEE SUMMARY: <br /> �1r,3.F.��='t�I=-��� ���t ii_t <br /> �9.��,_ ;��'_ . ?c <br /> _ ��= <br /> � '-.' <br /> �'tt3'_�i=;1�=t'- ,........_..._�..._.._ .s.�:a'_ <br /> �! � ._ .._��� -- <br /> t trt t.;a : C=+� t_ . __ <br /> CONTRACTOR: � `��`�`� ���=����� � '=�� � '�`- �OWNER• <br /> �=;�;����-_�r��::: r::��rr;���:,r�}= i�.F+ �_.„��;� :�{_Ii�Lf_,i:_ _ �;��;.r•�:�.i�r� i�±��,I i �r� <br /> ;:'.�`�.� �=�;r ia�.�� ��}��:�. n°��� i 7�.�; :_,h�i�1l���s�,i E1� �s,� <br /> l�ii�`Yr'iWt!€; 1'ji`,� ���-�:_�`�s'1 l�I�il�t�',3�_: i'�3'� �!��_�',�i�, <br /> ,_�:,�-, <br /> �;i�r 1:;+.f .��7=�'_;,_,_,_s: .r1?i -i iai.i t,=i <br /> -}—` ._ { _ _. __ . . _ . —{� <br /> i 1'��' ��f°� � �s:.#��.,��v��i i'i"#':��.�..r'�. L.�•�i�e7 : { . b'�i� e � �.E: ��_E . . .. .__ Yi!� ._... ?f.. k i'?i�.:�?�Y#i�:i-':e�_i'y' 1 .�� <br /> . . .�..C.�"._ .___ . .�._. ._. . . . r____. _. . __ . ._ _ _ _ ��4 . . <br /> -,-,—-.T .,>:— �.-.,-.�--___, ..._, ..^. _ _ � _ _ . _ <br /> �.:._��r I t-!1 ;Jj1� r-1-;-:-� � i i-i=._�._ �`t:'`:• t ;` _ t_ 3 t _ ._ '_.� � t y <br /> ._�, �-�_��.�� %�:` !-?�;:;._.__ . `•_ '•_.:'..f : ' ';�.,_. . . . F�'t� .T 4_!_I�;��j '�.�;;,V� }. : �-! '._.�._ _ �'� ;-�`` <br /> F... ' _ _i�vrs:is'i �F',' _ t: _3_.. ...._. �, {':' � , <br /> �., . ., �._.� , _, —, <br /> , � •rcx�r <br /> ._l�;1_31`.__ #_��'1L�=� . 3: �—, ��;...#' '._, , .-; , __ _#, �7 E 3 .. .�<<[,._ ;�;� ��_}i I i i j;.:[�s i _tt ` ;"._..t�! _�?_"".f ..,_r�? . _ . <br /> `i*e'.�' <br /> L.� J <br /> � �'! � i'�../ ��y�'/'��' �? <br /> APPLICA T/PERMRE IGNATURE ISSUEDBY:SIGNATURE <br />