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PERMIT <br /> . '�1TY OF ORONO PERMIT TYPE: _ <br /> 2750 Kelley Parkway- P.O. Box 66 Permit Number: '�'`�''�'�Y'�`''�`i <br /> Crystal Bay, Minnesota 55323 `-t'-"��'�R`t=' <br /> (612)473-7357 Date Issued: s_;�, �4_a;����,_; <br /> SITE ADDRESS: <br /> .�.��'� �=�:v�I#�f L� <br /> ;��.� <br /> �� � ,�" , , i_7.''—�. � ? .__ :.�—'t Ft_) i _, <br /> DESCRIPTION: <br /> fitl[:;�ei_�;�t::: <br /> � t;L��i r i%_Fj�T i_t!`•� �`.f�i.�.,;� t;,T'!_i—:��1i �-?I 1t if,; <br /> i �.iilt: E lclf.i{,`F�:. 1_l�,��_�`t <br /> REMARKS: <br /> FEE SUMMARY: <br /> s:�:;L i j.�:��r�w:�s �.;��,;_i <br /> L::�,.�:�� F�.� �:_� .t���:� i°i�=;i� i��l _______ .._'�.��.��..� <br /> ��l.,ll'�s E+��'`��' _.__.��__. � . `l�{ �s_t'�.�j �—r_t'_' ����r .t_�+_� I <br /> `��i�a�7.�_sT..�y �TC �tl <br /> CONTRACTOR: — F��:;�_� i c�;;T. — OWNER: I <br /> A i� € {i�.t''i� ,�,1".�{_. =i�.��'`+_+��L'��+�' �"�i'3�. ( S _'>_1 il}�E� i i��'� I <br /> ~`�—� r1�'\ft�F;' � " � <br /> �_ _ ! �_'�..� . :�i3 _' �. F�.__ �3 a� i—. � <br /> 1�4?yE���4'! ��i�i.� ���,:s,Li,{[ i_i�iE�s��Y�.. ��?e� ... _ _�LF�' <br /> � i—.��— �-r;, _;�.G�_ <br /> . .__ l9�`.:{�?:-.�".��i•_!'�'rt_;1 4-i�_h'L���� I-;`E-;.'!:�`._. I `,, t^`�.!x'+`sT�i r t�,��_IC`.f �..i_i �'1;-�i�:,� ��...�� . .��i_ T t�i}-`=i�_{Sy%�_�'�i-,:Si�`.� <br /> -. �_. f �"i�-�,f ;-j:�.,s ;i,_�-`L�- _ f# ; t:'_? i-�f...�_ �E_i'�.�'=. `s f'•> ��S"l r t_ I �•f ts 3;-`f i i.{�jL;` }`(�..? i a i-S�...�_ r� i ! Y 4_4{_ <br /> . �� . , � <br /> t_1�=i's�:j;:t� i l�=i�'�(rf::`�(t:1-'.=; :'-':!'Y�i - : �=.�i� :,It- !'r�,;•,1i°��`-:_(j��'-; _,::_)!s_'#i'vt� :_:i�li`.i:� f"+;`-..�tt_'��;�i'iF-��E��:= . <br /> L _ . . � <br /> ;�'l � � �-� �-� <br /> APPLICANTPERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />