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� 1'ERMIT <br /> ti ��Tl� OF OR�NO PERMIT TYPE: ��LE���;�#��; <br /> 1335 Lr�wn Rd. South • P.O. Box 66 tic=��.r�-.�7 <br /> Permit Number: �_�_�!i��_�i <br /> Crystal Bay, Minnesota 55323 Date Issued: <br /> (612)�73-7357 � <br /> SITE ADDRESS: <br /> �.:�i;� �;Hi��'E�INE DFt <br /> C:H <br /> F . I .t�. i i��-117—�::—:�;�.—i�t��_. <br /> DESCRIPTION: <br /> � �I?�TI��E'=� <br /> �l��rit�+a.���a F'}_rrr,it- Ty��e FI�Ti3���; <br /> �'i�arnL-��rE=1 W�_�r�:: T����w �:EP�l�:�t�ATE•�REMC�DEL <br /> 1 Lr�IjNL�Y T�AY .� WN=;�-��i=: '? t�����F I t��D <br /> � _� - � �� � '' <br /> � �. { S�� � ,r��R; � �,'�. a"- x <br /> � � �r� ��� A"`� E �ati ir <br /> r � � ' <br /> �� �� .�i ,� �� 7u��� µ ."� M'���� ,,' z.� <br /> 1" r� �.. �,p 4 � � m k ,�.��, ;z <br /> ' ^� ��'� � +�ia��Sl .��i��'�.���w,�� ,,l+M��„,� <br /> N/ 4 �4'� � ' �k� �' � �/ �: <br /> F Y � ;+ ��'' '� t'�A N�✓ � <br /> �� � �w ��� , � ���.. <br /> � s� �. ' y � ' �� ', N r t� �� �v <br /> t `� ��,,,,' ��, �' ,,�,� �� �ITY Jf �'�tt�A,� <br /> ' � ^ "� � � r.:t1AN.E ���cILF <br /> ri � _ �, , :��a� ��t ,�",* �` ��'� �;���3;��'�tt}� � <br /> �� ° � � { ,Suj�J�'�J�jGyEN �t?.!1� <br /> ��� �^ �r.�rti ,",;" �°�`�" �E.!; <br /> ttt!tifiiilVi% � <br /> i!i �Fi� •�V <br /> REMARKS: � <br /> t�� �f.'� 1.�tt <br /> �HfCf� ,t TL7' fiL.�4 <br /> . f�L•�L1���r,UA1/i• ��Y <br /> r :S' �'}a <br /> FEE SUMMARY: yg�1�;gt <br /> E:�c�.� F�� �di�. i y�:� MA I L I�`�! ------___��.��t� <br /> =�ur c i-��r�a� ----------�-��c� Tt��t-a 3 FeN ��•�:`.�ac i <br /> �����,{.r�t.�s 1 ��i� .St� <br /> C������R'�=i�}��_; �'L8G �3 HT� :'�:;i��r�,7r�. ��IER: E:I LL <br /> F.i}� 1�TN AVE '_: f:=:i?5 '=:H��F;EL I NE L�Fi <br /> ti����'f�::IN'� C�IfV ��:_,q.:_; iinEaNi� MN ��:?��1 <br /> i F.1�:r ���:f—��F,7F, <br /> -- --- _- _ ___ __ <br /> . __ __ ___, _ -- _- _ ------- <br /> ----_ ___. _.__ _ _ � <br /> �{"}-1� !���![}F�:�C��pw�1� �-'�:�F F-;�' ',���E 1�_.�_� �E�it�i .. .Tz a_�h�l T►:� t?r F::E TE-IE: �'�€-�L I�1��if:��,'E.�E#`�IT'�� <br /> =�,�=E�:I r I��} Atd�� i��:i;��_= i"!�E �.���+ HLL �,���R��: I h+ °=,T�;I r:T c::���1f='�.I r�i�vE s:�I TN ��L i:I T;�` j t�= <br /> �:=F;��:ih�l:E :�:,�L��t.}��sh�;_:�:��; t�,�,��; =:i�a�� ��E !�1 I��ihs;':�;,�iTj� �:t;s�C�I h�ti ti;j:�C>� �E{Ll�I�;E€�1Ef�T'=: . <br /> � <br /> _\���p����'��-..i � / <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �G�✓ <br />