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�— - -� — . <br /> � PERMI <br /> � �`�` �F ORONO PERMIT TYPE: <br /> 1335 Brown Rd. South • P.O. Box 66 Permit Number: F I RE <br /> Crystal Bay, Minnesota 55�323 Date Issued: t�t.�����1 <br /> (612) 473-7357 ! t)�:.j��i/'►� <br /> i <br /> SITE ADDRESS: <br /> i 1 dt? `�HEVL I N t]R <br /> L',V <br /> F• T N C1:�—i 1 7—:�';—:=cd—C�t�':�i <br /> DESCRIPTION: � <br /> L�l�l�4 '��F'�I I�I�;LFF; <br /> Fit'� F'et'ftii�• Ty�c Lt�WN '=:FFtIIVk::LER <br /> Fir� W���rk: Tti�F�� SE�=:IL�E�lC�E <br /> , <br /> `��; ��� �� � ���� �x��� � � , _ <br /> '�^ t �,��t Y n� �l�r rd �� ��`� . <br /> w��a� � ro �a��i'�i �,�.� 3 . — t'7�T'Y i E' t.l"+�..lt <br /> ��� ,,� ti4,i �i� � � �� �.� � i,.�t e 1 �i �vSi�i'�v <br /> � ��1����n��/�"uri��� �+� � ,� �r� t'Ttl:�s�f`C r'�s:?"Tr`i <br /> �� p, �n�ly; /d��, t ti�^ 1 d7T1714L V! 1 1frL <br /> � . +� 'jj�j�j�Jy�'� [j <br /> yay�°�' ��t���� � lµ,+/M1��� p � 1�l vr7{fifi7ifV 1!' <br /> ��� �.� ��+, ���' ���% �� � i C 7.rs iltt <br /> �� ����� ,�� �7 �� �1V ,,u,,,v <br /> � �, ,� � , ='���r'�UL'G� � <br /> „�,� � "� �= rr t t�c.•v/� r� � <br /> t �� � ,�*a ifi bGeit ,Jif <br /> " l ;-;3TAL �;:�.��? <br /> r <br /> St�M� �l4� .,�s� `�� _ j, <br /> wtl,� p1 p �e . � � _ ��LNFi�- Ja-:.fFf <br /> 'i� p�u. !"�d . �. ..�. 1 u i� kf�l� ,.�r, ..'.���- � �jj �� <br /> .. Il1� 'r't <br /> i�..r vi a o�.Jv <br /> -- •i_ �A Vi 1 <br /> REMARKS: �r:'�?w�'=�' �vt�� ,���a ?';;u�3,� <br /> �t,�•��-r�� <br /> ! i.I/i <br /> yy'�{�s�$�S j`�}f'tf t%(if Ti'ti::� <br /> 17i.'7�fJ1�V LrV1'.L 7;41 !VL'•J� <br /> r . •'�f <br /> FEE SUMMARY: v��'v�%�'� <br /> �+clSC FC�' ^_______�'a[)i�)t�) <br /> T��t��1 Fee �:,:t�.Cat.> <br /> � <br /> d <br /> i <br /> � <br /> � <br /> CONTRACTOR: OWNER: <br /> — A����3. icant. — <br /> THi�1� C:i_iN'�TR�1GTIi i�+� ;��:�:�irq.:i:� � '�AGEH���,N _Ta7HN <br /> 5:;51 LAk:ELAI�D AVE �i 4C� ��;HEVL I N DR <br /> ��'Y'�TAL MN ��,�i�� ����R��i� �{� �5:���f <br /> (��1�> �_::�:--i��._:. <br /> ThE !J�C?E�;_�I�f���� ��.�EE�Y RE{�LfE'��T'�� F'ERM I:�::�I��pt�i TiJ hERF�;E 3NE fiEAL I��'�;+�+VEMEIWT'�: <br /> '�FEC�I F I D AN� r�� `-E'� T��r Q�� r�L� �,J��Rk:: I N '=�T�i I C:T ra�i�F'L I AN;::� +�I TN r�i.L C�I TY i�F <br /> � f�s��V����^� - .L�I h��,P��:E=' P�iG '=:�i�iT�� �:?� M I��NE'�:�_�Tr� E:E J I LC}I itfG ;:.:�riCtE REt��1I FFt�i�i�T'�•. � <br /> . � <br /> �' U�'1�t�--� � <br /> APPLICANT/PERMITE IGNATURE I ISSUED BY:SIGNATURE <br />