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,._ PERMIT <br /> � CI�Y,OF ORONO PERMIT TYPE: <br /> ;750 Kelley Parkway- P.O. Box 66 ��s ���_;,,;�;�;; <br /> Permit Number: ��=� <br /> Crystal Bay, Minnesota 55323 i i:�i i,r�t i:_, <br /> (612)473-7357 Date Issued: t��F;i,_„ ,�`: <br /> � f-� <br /> SITE ADDRES�: <br /> !.}i�:�_) �_���.{t,„�F����� L�f't i� �i.3 1�1 <br /> {;i-f <br /> �` ! i.f —1 1:=t—�`=;—f:=�—�t_)i lt 7=; <br /> DESCRIPTION: <br /> F°��`.�y3t�� La�:��f�. <br /> �,�.�i i=�i��� F'��•r�ti+� TyL�Y `=��=—fiiGD��°�i•;f�i tr� <br /> ��1.�1 �f,�j 1'jt—i ���ii'�:; �l�:N �.,t�{..•I�, <br /> lF�:�. 11i r;�1�'c!1lC j t�—•-' <br /> {.+��ii3t.!'f.�i 1:.7 :�t's,; �Y�',; �(q <br /> �s�)l�1�'� { �.!:;i_'��� <br /> l.F-+�i{:�.�= �.i.il�t,° i.[.'it� �1 ! . �'i��.�1�3F'.It.F�il�L <br /> REMARKS: <br /> FEE SUMMARY: <br /> °,r`':=�i_t fi=?T I's�►�'� �1 , _�'�1 <br /> �:�,i'�h' �Y� i'�1 Y , �.i'_Y <br /> �-':�t! �i h:j j,F.i,s} `.�.�`�. ?� <br /> `._�l1t1'C�id}''��' __._____ _'7�j..�a's <br /> (3_f i.ii�, j FZ7, �I i_' . .�.: <br /> CONTRACTOR: OWNER: _ �;�,�,� ��,����. _ <br /> ;�;:;t�__�� T���s,�� <br /> d���a i;;t sr;�,°_; �;����` F�? hs <br /> kw��`1�dI�4E_� ;;�.� ��_°.=,i_� <br /> .;:c I�—f i�r.= <br /> {}�t. �'���'`e`;`.:��t����� �-��j�`E;�'•y (.`�t',�`t_!�`T� i `•�� €=�1_�(*!i`=;'.W;tl��('�� J.;s {°�'-i��.�._ I s�` "'::_�i_ 'L i'f�'`�`.�_4`;"i'��i�i�T <br /> i• — , �'t— - ! i t :: — S �? T — :y : . -.�; j ` . .____ .. ._ �.. _.i-- <br /> :�:#-`�f:�#- ��L% �.;C�lL? t;!,�i,F�._ !I_! _�:_I �-1L.__ �:�._i�;;�.. _f� w� ,�:.�i�::� i;t_;[°;i=f��.�,s�si�.,_ �:=1� . _ <br /> L i_;$;�}�I�:�'�! _���I:t?�.[':'-}:'.�;_:``�� HI�E�..J �� 1 i-�'�� ��i' !"_.�I'���"t=:_s_'i�;�E '�_E��.1:•I"•�;,j 1_i_F4 f� .�k..��'�.'1.�:`��`'�_('•>'. i _ . I <br /> �.1 <br /> � <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGN TURE �-�.1�'� <br />