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PERMIT <br /> �� (;F�'Y"OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 Permit Number: - :;:``-K',�`,;_:•'` '�'�' `'`�' <br /> Grystal Bay, Minnesota 55323 -'- -�= - - <br /> (�12)473-7357 Date Issued: - - - �- -. <br /> ; ii: __ .. . ' <br /> SITE ADDRESS: <br /> _ _�_ r ? [�{ i"S��f i Y. I�d <br /> ,e� <br /> _. ._ . : . "',:' ; . _. ' ' ' <br /> . � .. . . ,. .. . . —.:^ <br /> -. ... ._.._... . ; �...-_.._�.� .:_ _ <br /> ...'��'.'�.('S <br /> DESCRIPTION: <br /> ,__ , : : , _ - - - <br /> ._. __--�.:: ....._ _�:. ,�...,., . _ _ <br /> __�:'�_'1 .. . _. _ :�i' �`}a s",E�7, '�. �{F='k� ..`-��,.i?F,�`t' •.,.{,,,I CV Cl��.�i j_iC� <br /> _.�x'.::_=?1' :s a1::�;,.H.�' .,;'+:i'.:: 1 V'�:=t�.` ` �'i�'".�: _{�_ai.:.%'�t.•__ <br /> REMARKS: <br /> _ .. .. _ - - - <br /> , . , <br /> , _ ,, .. _ :,, :, <br /> FEE SUMMARY: <br /> _=�'C:t�.E' - " ________ ''�� .�� <br /> �'�'s'.:�.� ,�=r?�' . ._ _ . '"l? <br /> CONTRACTOR: - ° : � � . OWNER: <br /> . _ -:;;,:r _ } <br /> . .. , :_ _ . : : .: <br /> _ . _ . _.�.�_;.� ... .. _ _ . _. . . _ ._. ._ . . ._ _ . _ _t�� <br /> _ _. , _ .. _. _. ._.�..�..'..i ' - _..: _T;..( ';};L.; ;�.! <br /> .; �...t _F.;'� ��`;1 u ' c,�t:; �: " ';'•J €"' <br /> ... _ 7.,.. a.., . _ . <br /> � : . : <br /> ?" � .���.,.��.����.t. .?.,. `�`„__ i �'"1�... _'� _ . . s _.�l%� . _ w _ .. . �._.. .._ ,_. . . r•c_"„�i�i� _. <br /> . :'.�T'���r������ .'��\!?.} : ..�. .�_rr�.. . �._'• �'..� i'��. ... W�Jt�ff .. .s.�_•� .. .. a . . ..._ (.�1 . . . � ....«'. �.l�.I.� S�SE_ <br /> .. .. _ .. <br /> �.,�F'c�,��� i..���� ; ti..;:... ,=-',:�� ... ' �, ._: ' . ?'_=C'���_�= _ . .��: . �`i._i'����?� _. .. . _. �. . . �? i . I <br /> �„_ J <br /> . � <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �^l. <br />