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PERMIT <br /> � �TY'� �F ORONO PERMIT TYPE: <br /> 2,�0 Kelley Parkway - P.O. Box 66 � '�=- <br /> Crystal Bay, Minnesota 55323 Permit Number: .�.� _ ,. _ <br /> (612) 249-4600 Date Issued: _ _- . <br /> SITE ADDRESS: <br /> �.���;�; <br /> ;� `�1 -((7 �z 3 �3 C�O /`{ <br /> DESCRIPTION: <br /> . ..__.'`3 ... . ._. <br /> a . ..__.: ! �s`.:.w �.�T'�=� ; iyi'1=� i ;`;%-i•.`+.`:. _.":;;:.>'�.e.�. . �'!'•.�'��s�_4_ _ _ ... . . .''�y i <br /> _ i;t�.:r::�T�`�il- -��`:_� � `_. ._ �'��...�..�e EF?�'_ : �_ I'E{_•t_.��i.�',f <br /> ._i,*` ._ Y � `'_ -„_, -A,: ` :`,'3{-; -_ ! _�`;�i_3 P�;-; <br /> � -._ . i.1��': _�_s'�'•.?��.1 �`%i—���•.,: ��:f-3�-.:i'•:1�� I'i` . . . �.-i <br /> � . �'t:,,'� : �_r'`: _ _.ii; i I �'';r�;F�:_=, l-�s�i i ;�::�',: � _:t•(?-.. . !`%�—__ ____ �-,::;:f�il;-� j <br /> REMARKS: <br /> FEE SUMMARY: <br /> _.�.._._. - r��, ��._ . . . _ _ . ..:I;_ :��� =�.._. �x; �;; <br /> ___.__..�.. �a:_�:_� <br /> �:�.�:�,=z���;�:���_ � _-____ - - = =�.��r.:�� i=:-��: . __ ._ . ��:� <br /> =i��-.+:_z.'�.:-�' "��.s�_=y-;=a�+ <br /> _.. I ; � - - _ <br /> CON?RACTQR: `�`., _ _ =-�� _ _ ` _ _ OWNER ..._ . .____ ._. .; <br /> ', �� .a� ,i � � v.F � 3 I <br /> . . _. .._.. . . . . _ ..._ .. <br /> . .__��_. .n"f �.�'.Ei, .�' _ ._ r.. .t"���__. . � . . �. ., . . _ _ ' <br /> .....; ; .. . . . ',r _ ' ' _ ' ' _ ' <br /> f.w�. i.�;:u � _ ��_.. ` . ...". _`,._. . _ �" !'. .;"t k. _ . ._ .. .� . '_F ..�:.FV i #'_. .i.`..:i_ ` d I�" . ._`" ...... !:_. t . <br /> _ _ , _. <br /> . . ._.. . ._ _.. ..,. .- -- ._ . . ._._ _. . t;'� 4,�_ �':� ... . . <br /> �� <br /> W,_._.,..._�._��.,� �, ..- � .a -.- : , <br /> �_�..�i_, • �: . ,::�,��� : . <br /> �`; <br /> ,� : . � i' 1�._�: -,:t;-..: �i... ,�.: __: iJ�_� r��._._ `.t _. .. . ,..- _ � ��.a. ,_. . _ „. � .._ s:. . ._ .r!,. "f ;-11 <br /> _. ___ . .._ t � ._.... r _ . . <br /> ;�;'�-��S . 1 I �-� . { :i�.' ,�..- i i-�}µ — � 'r i : �� S ' ��� j � � �.;,�''" I . .. . . <br /> _ . __.. ...� _ . . ... � � ..�.. _ . � . . �.. �_.� , < <br /> _ _ . � _ .�._�_, . .r .,. _ ...._. .. ._� _ _ •_, _. _, _ ._. ..._. . _. <br /> L � <br /> � <br /> %�l�z� ����'� � <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />