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� . PERMIT <br /> :IT'��F ORONO PERMIT TYPE: Y <br /> 'S0 Ke y Parkway- P.O. Box 66 Permit Number: `"t ` ` ^ � <br /> � .. 3 L_�1��:Sd:i <br /> .;rystal Bay, Minnesota 55323 i:;. i ;�.i�;i� <br /> (612) 473-7357 Date Issued: ;_f_ ,_ _ .^+_, <br /> w _ <br /> ,E ADDRESS: <br /> �u:1�� _;���+�°,��.��a�= e��' <br /> {�; - <br /> = _ . . . . . _. .. -: �<—_�—�._—�_�'�"3:� <br /> DESCRIPTION: <br /> =;►h i�_;:�;:r°�i��;�-� ;;:��:.:��� <br /> ��1�4= L��i I I:? -�F"k�'C3''s 1? �Y,�'?=' __�'�i��1�.�-I{�}'•`.��'�=_!i1�`L <br /> i�'i{i� 1 i�],�Is:} }.'i_il i:, ( f.r..��f� �'i�LF��..iti;�e—� i �,1�i,t'.,�,�'�1�,{�}�� <br /> :f`�•_ 1_itt{Sr'-�113.{ ! <br /> _ �—� <br /> (�:ft�S!•_'�.Y'!�i�;'�.'i iv��i �:!�-'`= �,'i E�" <br /> :_}��:i 1 i�`� ) �z'—i H <br /> _.F<Ii V,_%•� _.i_i t,�' . .��+�! ?�i t... } . .`.1'.���j L'1:-,�°,i i �,r'•;_ <br /> REMARKS: <br /> FEE SUMMARY: <br /> '��ti_�_{?=���s li;; �.�_,, t,ai,ii_} <br /> ='_1��?� �N'?� �E'L .4. 3 . i_ <br /> L`?.�1� e;'-�+��Fse: . . . w��. <br /> `.�:t�i'i=�t•=?i''�= —._____ ....��,s.:xi'f <br /> j t�'F.,='1 `?�' ��!.'_'_��� . . _ <br /> CONTRACTOR: OWNER: — �:;�::;::_ ._ -, . . _ — <br /> �°;;_, i�i�=�-i(=�±�#'� <br /> ��=1 °�,�;����°��1_;;°�E: iY?�° <br /> i�i;ii i�v�J . .-. _ -_�'�4. <br /> :l�i L_ — <br /> �_��= �{:��.. .��-t;'�Z��€�� i�4�'���:� �;�`�At��`1T�� �`E�.��#I'��°�=i���t� �;�..j t��r.; €�� 4°���' �_��;-`�'������ :F.=t���'�s <br /> :=' •_�' • °_ t i �t��� r. F�;=— �i!Y`3 [3#"# �:l I i �h�[„� j��% — �'s`� {_ '�i t�' � �``! r` tc;���} t i`, t I� <br /> _� . _ .���. . �..�� . ��� .. . _._ . <br /> : _. .--- <br /> .� ��� ✓ <br /> ,� r , -i .T� ;.:: :�":=: �;��. ._ � — � i��'��_;�_� ��1 J j�s�T i= - .� ti=��! ��� <br /> : :.� ;—;- <br /> ,- :�,� <br /> _.: .._ J ._. _. .r: �._ : :; : t� .; . . ... _ �:r .. <br /> L _. _ _ . . . . � , � <br /> c.G- '�'� . �` ���'7-�r.,ci <br /> APPLICANTiPERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />