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PERMIT <br /> C�TY C�3F ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 _ <br /> Crystal Bay, Minnesota 55323 Permit Number: _ <br /> (612) 473-7357 Date Issued: <br /> I SITE ADDRESS: <br /> i � {=�-i�=�', . : - ... <br />� - <br /> , _._ _ <br /> : , ; , . .. _ <br /> ,, _ : , _ ___ . : <br /> I' DESCRIPTION: <br /> . ._. . ! -.f't� � . �`! *... 'F <br /> ,� . r._.,_. _. ._ _ ' " _ � � � <br /> i._ .'.�.. � �.�::r :�i ." <br /> _ ._�. . _. .._ _ , _ . .._. .._ . __i_�a`_. ._ __� %�.. ��,;ii'_':,j !i!::.j j {i�;.;'"�i.._ �1�'�.-� <br />. .T?f''L'•.L �.�_IY'_'{?� y''�_�Lr�E._ �{ r':Ij�i�'.l_� <br /> . _ . .. �T�{;. <br /> REMARKS: _�_ -�T <br /> _ ...� .:�� <br /> _.�._.� � . � <br /> FEE SUMMARY: '���r� ,- :-�� <br /> . . ..__. . . ..�a�.� :�y�;.,,_; 1_',�;�.�; _� ::u <br /> - ::,:� <br /> . L•!t!'7!TVL v1 V <br /> '^ �_. <br /> v—....�:..� '".i:..� ,-..—... .i.._. . .. , . . . .. <br /> ._ ._.."' �':._ _ _ !_Is�! _ !�'7tYf��l 1�1_4� <br /> _.�.. _�?_.l.i'�_!}'. 3.�:'1 71i•T•_'!_�l�: t.i!L�J. :11'l. :'YrT <br /> -' ..��.�..�._.�..��_ . .__.� y1�i'i <br /> ! ;_7T.cct% . c'!=' — L.,ii _,... .,, <br /> CONTRACTOR: OWNER: -- - - ' - - - � <br /> - . _. !,_,;.� , <br /> - = - - �.-.-:�,�'`}' �;`'_ <br /> - - r.:- - - <br /> --E. ., � _: r -, � � , <br /> e 3 . ._ _.f'i_ _.... � a� ....'. �: ':� ... <br /> , .. _ .� . ;.._:�._..._ i " ' '�?"-_ � L" ' ' � ' <br /> ;� ' <br /> .�e . . . $ .. �. : <br /> s,.. <br /> � � ��._. .�_. _.. . ' " . . . . . <br /> ...�:.. .. .. . : . . _., _,. <br /> �� �. � 5 . <br /> „. _... ..: ..,_...._� .. .... C' ...' ._. � . -' :f.- .�... <br /> .. ., ,.. .. . . ,: , . . _ . . . �^ . . . .. <br /> ..: . .-. ._.� ,...��..._ � - . . : .._. <br /> :—i! F ..*r.:"€�ij i . 4{ .� � � ? S ..� .a., t ; -t• . <br /> [ r <br /> o �• _ <br /> � .__.... . .. ._ _ . T . .,.. . - ' : •� <br /> ._i I ..i.,....?.� . .�. _ � .....�._. ._ . � x... <br /> L ._ . _ _ .._._ . .,_ , _ _, .._. .. � <br /> �'\//^������'//'v�'�7 GC_� ��`-'"u � l � � <br /> �i1 �� , _ <br /> APPLICANT�PERMITEE SIGNATUFE � ISSUED BY:SIGNATURE <br />