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PEIZMIT <br /> �{TY�OF ORONO � ' PERMIT TYPE: <br /> 1335 Brown Rd. South • P.O. Box 66 E�f���-���``�� <br /> Permit Number: {7t y_;�r;� <br /> Crystal Bay, Minnesota 55323 Datelssued: ix:�:%t�t��'�� <br /> (612) 473-7357 <br /> SITE ADDRESS: <br /> 14c_:5 r;TH AvE �i <br /> L.:=;� <br /> �, � �� -��_i �:�_-��=—=�=�—i ft 7��� <br /> DESCRIPTION: <br /> [::��i.:��:: <br /> ��uilj�iii�� {=},��rr�z�, Tr���. '=i=-i=��'�Di�;EMiti1E� <br /> _. --.�:• <br /> E:i.ii 1�i1��� W�at'4:: �;'�,e �..::►,�.r�.. <br /> (j�;�; ��,_���rr�=+.1lCY - - +:--- <br /> �+' F . <br /> J' y T'. <br /> l.•t.�����•����{ 1.i 5..��i � Y}-�t.�' '/?� <br /> ;_���Illll� �, l_Ci-'ii-�t <br /> •,�, <br /> F�� <br /> � <br /> 'r'��� n�,����"" s 4ni ti� �n �. ", <br /> + h'� �t� a� � z '-�.�� . <br /> � k �� �d" r� .��``'� � �?r� �� �i�� <br /> F i 5'f � � � � �-�. <br /> u <br /> n ���' � <br /> � da�� �� ��2 � ' �w 4 :; <br /> '�, v�a��� d � - �, �r�,�-a <br /> a m�� � � � <br /> � , ��i 4 <br /> � ir � � l� <br /> „:� �'�,�e <br /> ' so'w�t�d hi:r��sr� d �"� � <br /> ;^t ':+" �y yi �'.` y it`'' <br /> 6 4 <br /> :�✓�ti,d'�t°�¢„M<'�'.. �..KN �� ��� <br /> REMARKS: <br /> FEE SUMMARY: <br /> 'v'�}�,_t;i;'(��s.ii`'� �•�.t_;;_i <br /> .,*-=� - .;�i'si <br /> E�.a•�� FeN �1� .t;i� ��i . ; �- .::�;�� <br /> ;,;,;._.._ ;:•��r� <br /> F����� ��_���_� d��. �C .:Yf"It1ti�4 L'!7 1LL <br /> ! .: <br /> ' ;-;'t�y'�h � <br /> _ ;;�i;• • n <br /> =_#.,E t'C�'"Id1`'�C ----------�-''�y� i.%i u�n i�.vv <br /> i��t•�l �e� ����• �� -'°�;�" � <br /> _.�.:',.� e <br /> } z �r <br /> v.f. w�� �".i.i <br /> ry <br /> i_.:r:.:_�1.'�lLhM1� n <br /> �) ( Lll�OjL� a W <br /> LFlLL•!l• IL �'rL�J� <br /> !=L}'L'7t'''}"...Til.'!Ati�� I�tY� <br /> /16LL11 e :e�nirr r <br /> elrrlt=�} �'!sf}f i.iti �'{ 11 �JJ <br /> 1Tr�tKtit,{, 41�V1 !1\!.L 71.J. • <br /> V J'l t!71�1 <br /> CONTRACTOR: OWNER: <br /> -- r`�RF'li4ttiit• -- <br /> �:t�YE�i ?� �=�i�hl:=� I P1C: 1 i�7����i�? �-'EA�iC:� W I�..L I Nt 1 <br /> �:_:��i�:� I''!I f�N�T+�if�t::r� E�LUti 1�.;_:� �.TH �VE Cd <br /> ,.i�=.i�i'��j��'Y�=;�� i`�1�! ��;'�1 i i�i i��}i f t{i?�i ��:1`�1 <br /> , -:-. �-�- �.�-,�::,� . _. _.':i�7:=`—;�'�.4 . <br /> . <br /> ., . t i=.' � _. C <br /> } a , �-1..;:�;— • . :, <br /> _� __� __ _______ �—- -- --- ---------- <br /> "•!tf".-� S;..r.,�..�r��, r —:.1 : '�' ' f� s'�:�'�S 't' it' �""s'x <br /> .i.t�,_ f : —,- 7' E � -i t��:_��'•_ i'���:i`���_ :i•�fV_ I1 i �.�{-1���.� �t1� t:_�#L. 1�'i�';-is i','L.�'tr_i!i •- <br /> 1��. l�j'�tl��t'�•��S 1�1����� ����{s����.��� i'•�i�1; ' s . - � � <br /> ' ; r,���.,��.. r_r: nt.tr'� ,-:r��',.-i-'-. Ti i l,ii.� t-}� L 'juiFit7}�� i`s. �� �;.3.L. i.�_i�''} _ }=};Ji._ ii}, .- Y-I�._1� _ . i �_�F" <br /> � j, . ; i"'�!. 1 . L #�'� M. i�:t <br /> .-•t-�i.,.;� �C:L.! t-f E 41.: t-i� L _._ } _. _ . _ •. ,-.,— — <br /> - , r�r-,�� i i �t',; <br /> i_I}?.f_��'�i_I t_ij?{,l!��ji-91��;.:,__ �i���j� �,���� i_!#= �';i�•;i''�t:=:_f� ; (-� 'i=�i_i��_U s 5�;�.] _.�_4%j:� iii_[i,t_��'.+�I'�+'»:r� ��_ . <br /> 1 <br /> r V <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE C�,�,��— <br />