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�'ERMIT <br /> PERMIT TYPE: ��E�:Faaiv��:��. <br /> i outh • P.O. 8ox 66 ��'•r'��1�'� <br /> Permit Number: <br /> C �sota 55323 Date Issued: {j''' `��'�f='`' <br /> ��: <br /> . <br /> SITE � .�. <br /> ��,��.; �::ELLI' �i4'E <br /> TL��i <br /> �'. i . i�i . , �'t:z-1 i�—�`.:��—�.'�—t�t'e:_�_=1 <br /> DESCRIPTION: <br /> �. 1=i�:cr'L_�;::E t°i►=j��::� i�1�t'=����1�aI�.Y <br /> I.rl! !• Li� �,,,iij•ijlTlLf <br /> �..w i�iiRdf:'� �'—i 1 i <br /> : 11Tl7ltL•L l9! 14L <br /> ..'T d�ii!i?tH�3 }} <br /> .I+Jl�'J V V YtM1 T! <br /> L�.l. iTllT t��l.'�� <br /> T'. *r!�'J! fi <br /> 1 iiLf..�t��lt'1/V 7 <br /> it'! i iS� r.rf <br /> 1�J. VLn .N <br /> ''L�' Ti '+�! t+1 <br /> L:1 fL,y! !L 6!L'a vV <br /> t:�::`C'?'u:'._ �'u{e�h� l+fH! <br /> 11L.L�L1} t !1i/lITt1 lULJ <br /> �yiiiiL.+.'�i} +�Yli}'{ L'e!7 "1:!i � <br /> 171 VVT11J LLVi llV1 !L'V��i� <br /> REMARKS: ``�''`'"�'''`' <br /> FEE SUMMARY: <br /> E:�t�e s�� �*f:.t; . C,i_� <br /> - ,ii <br /> °_�t,lt"C I'sct�''�C _____..__ _�'—_�. <br /> �'�s#.�i F�C ��i—=ii . �,i) <br /> CONTRACTOR: -- �+�=���� ������� —�' �� <br /> E����l1�i'=�T�� C:�1=_;T+:�i�1 C:�tA�=T;�G :;�.:14:_`��_, i OW,�7i.�1' T�i��i�aE'=; �:i it�:=�TF;���:T I i E!� <br /> i u.'��r�. e;l._i;�E�i RCi =:j' i���,l :i i.�� °i`���'r�:. r`�'�E � <br /> ��fLi►�JEEi i�1;�� ���_����. ci�Itdr� t�i�! ��;�.:�:; <br /> -��_� <br /> t�.1:�) �.:�c�.—_:;��. �iy�—:::�,._,:: <br /> ___ _ <br /> _ _ _ ___ __ __ ___-- — --- --_ _ _ __ <br /> ---- � _ � :�r;�: s.,1�'=�i:_ :=`E�;�1 I _ ,.���s�< T�a �1r�t�.:c = s-!� t�.��l_ I tir i�_.�v�i�1�rdT'�� �I <br /> i�-lE _'��;��_�=I uf�i,�U r-�_, . i �E���:_ <br /> :_;���-�:��.:i c.:Cf rf��L� r'-;t��i�e�-�t:_; j;i �3s�i �!i. [���#i=it�:. i ik t�i i i s.�� �.��:i�''±r z.i F=3;'�i��� �J 1 Tt-� �[._E ��I T�T �_i�- <br /> �i�:— y� .-`riC i P�iif��1=�'c�'._: i=s;�a::t ����i=aTr E,li�= iTi T��i�i�'.=�i��i i� C'=?I i_U 1�ai� c_!,;,�;,� �i�i�:!t�i;`.��icl'�i�i�_ . <br /> ,�,, 1 �� f;�; t €i r <br /> � _J <br /> ��� -- <br /> � <br /> APPLICANT PERMITEE SIGNATURE ISSUED IGNATURE <br />