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PERMIT <br /> Cf�Y OF ORONO PERMIT TYPE: <br /> .. 2750 Kelley Parkway- P.O. Box 66 _ _ _ ._ <br /> Crystal Bay, Minnesota 55323 Permit Number: - � :�.F:: , :-:-:,i <br /> ��r.l....;;r�.w_ _. ._.. <br /> (612) 473-7357 Date Issued: _ �� �_;:-;;� <br /> � e' �t <br /> SITE ADDRESS: <br /> - -,_i�_i _;_i;_,IV �(z•�:1_ ��J;� I t`Y ;.�� <br /> DES�f�IP�`'FF(�N:'`'-- = � --- ��w_ _�_''`_` <br /> 1 !.jsi_ii_:i� 't.;t�::�;`;:, iu#i:�i_'� <br /> '{' { k iL <br /> i i:.�3�Y!y.f.i�.^ ! ���il:� !ry�—it�.,:_ ���'1 ! f? <br /> S <br /> REMARKS: <br /> FEE SUMMARY: <br /> _`�,! :_.`•+-{ � f,'1!'•.� :�r_�i 1{_i <br /> �;,+�_ - __, . � _ . =i�_i <br /> '.��111'i�:'lct.;'��ir- �._._....__� '.��".,� <br /> �ti'�._; t t-F�r_"� . . _ . - - <br /> CONTRACTOR: OWNER: <br /> _ �:��,;�:� ; ;_.�,.,��. - <br /> , .__-. -';'_r_ I j-�ie� t:;-.:-;=i y _ T _'e'�: _ _ . - ' r;- t�s-"`,i-f-l';��_ <br /> - -, t _. . t� ' - -:�:-t`t ' '�'ETz:�,.''�T� ,_ ;Y;_; '.:�1 <br /> _'_�i_'ti_'s ;,�s'•._��•.`."_i�•1 f j+f=`•J''G- - . —=� - _ _ _. . . _ __ __ . . <br /> ;'f i£'`[�Jf'_E'-;S''I_IE_T�-r , i:'Y �='aii._. _, _ ... e`"{_i .. _ .. <br /> _. . .. _._... .� �.�.;._.;_ t . �{ — <br /> "r..r�:�:'s_ i'0 e -�:i_�:'-atv <br /> E}"i�... ;�i::i��_i:•_ I r_.e:�s.�i �...iv ..�i._t.. . ��.._ __` ? �-' -- _ '" : — » _ ... �, . .. ., ._.. . . _ .__. . .. . .. . ._. . �_. .v. . ... <br /> eiv�5:...!�.�..�_`...��v. _r � v:'�vi� �,i� {'".,'.. ir4 F�'. � i`Ti�iTi,f.�.. . i`�f�v � ��M :"{�" ��i"'r,ni t S : S'� {�u�1 .' <br /> ,_�� �� � 7 i � 4~ ! s i�il._=__ }z . ��a ' `'t .4 �_ � `l i��'�� .... ;ti �3 ._ _ _�i� _ <br /> � <br /> L I €!-I'f,., f j i �,F i -� F � ! ''.tt _. _ .. _ _ _�__ '_� �. _ __ . . .#tif� :^�t. � <br /> ..y_" ;_, � � <br /> _ . ..... ._ _ . . . .. . . .__ a� <br /> l_ � l�� . <br /> APPUCANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />