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PERMIT <br /> .C�Y OF ORONO <br /> � PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 �°�t i���,:���i; <br /> Crystal Bay, Minnesota 55323 Permit Number: {;i t i:_�,:� <br /> (612) 473-7357 Date Issued: - - - - <br /> R}{_,{_i._�f'_:�_: <br /> SITE ADDRESS: <br /> 1�``!�_! `•M�lii-���is,�i illE;} �i'!,1 <br /> �.'_�� <br /> �'. I . f�. . �.7-1 �:,_.�`_�-'�i-:�iti;�� <br /> DESCRIPTION: <br /> � �' s k Te_}��:�� <br /> �`'1+.,!£;i�'�ltl�� t=`�t'fi�l.�• �w��� 1=�:iT�'f=t�:_� <br /> �'Ii�!'f��:,i t-��3 :+����y'F�: T y���� �Li['s�;'Ti 3f� <br /> .,_' Li i 5'f������1� <br /> REMARKS: <br /> FEE SUMMARY: <br /> ��►'t�!1�;:i'i:t�,� �7Cii i <br /> y`.i.��Y j}�Y „�'r_e� i_�'.� <br /> :_�I 11'��ict i''�W' _._._,�._._ _�...:��a <br /> �a_s'�.�t,� :►V tM Y�:�`.�_', , !-�t} <br /> CONTRACTOR: — r�����I i c.�t�t. — OWNER: <br /> �'I?i �it�11�i���; �'�.�1 ii'-,�,� ,1Fi�:H#� [lt it!y# [i <br /> :��=�;:�i_� �=:��1�='�!°_� �{Fi �.i� 1:'=�t=� '���f=�i1'r.'�t is ii s s��'j <br /> �°�`;��i��EiT.y f�i�v E.���� i=�t�.��i i 3�t� c���t��:: <br /> t;���',�`.`s .�,c�_�_;y,c c <br /> . _ . t. .__ . . <br /> . • <br /> T � t x�si"�� �.,_. �,�� :-t'l � F'���t� `w{�l:F' ""�'t�f'� = i i*� T�=� �f�;E':� T±� _ �;°�-� v�.���_ywE::F r:;-j:w-r��=; <br /> �E _f .__F�= I _.�--- .i__. .___ . �,�•�:_ 4�T`�: �'�. . s:_�`��I ti �r.. _�,t_ � . <br /> �_��"�i�"..._'t_��T��� ����F�..,! 1��.1{"'`•.`!�„`�� � 1_= [�,s! { %--��_� �,�€'•_�`.�'��. ��� =��.�f�� ;��_�1'I`i?_E i-i'+f+.:r ••.�4��i'� i-���_ !_1 � Y �i�" <br /> f i ! lk,;:# !„i ` �� 1; iUl.�.� �'9:1 �;f r' ! �r - — �'("t .;�.vi:��3 I !iM; i-;�� �i�€`J�� (.��iE JL- 1-.:;-;z�i} i F1`?—�'if--.`.;�— <br /> _.�?_. ._ {�.� � �=-t. _ t l. _ _ _ . =�'�, .c.__»_ . _��!..__ _�.s._ _. _ _. _... . . _ . i <br /> L y � J <br /> � <br /> � �'��� l.�� <br /> APPLICANT/PERMITE I ATURE ISSUED BY:SIGNATURE <br />