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� PERMIT <br /> C�`���� �F ORONO , PERMIT TYPE: <br /> 1335 Brown Rd. South • P.O. Box 66 Permit Number: ���j I LC�I i�� <br /> Crystal Bay, Minnesota 55323 Date Issued: "+-t:;t��'�t� <br /> (612) 473-7357 �3'�r';�:��:'�1 <br /> SITE ADDRESS: <br /> i 7� �:�3�,D+�1(��:F-; i,�1; <br /> L:==�t <br /> �`. � . ��I. t i�,—�. ��—ii�::—;�:',�'—(ii i�, � <br /> DESCRIPTION: <br /> i Itt`:.lCl{_it_;;�:3 ;�;��s-'�- ��G SFY'Nc�G.r-e <br /> �>>�i7. �.+�131�a e'�:i'fssl'�• �';�°.�, _:--- 1.�. �, .; .:°;, ` <br /> R.. <br /> ���f! �.��1 l�i� �ls'i i�'�:; s -r�:)F+ ' i_i i_f E._ <br /> {i��: IICt:�=�=��tl��`; ,:i-' _ .: <br /> *h! <br /> L..�_i!!`�'�'�•)'�.ji�, i.},s_�j"j i v C:�t: �v�•s <br /> . .� _ <br /> ,_��i�I I il_� �i:--i�-i <br /> �� � � �,*, ; LITY JF Gk�:'G <br /> F'�����A���L t�FFICE # <br /> � � `� �' � n :� ft ►.:t��n <br /> ' �r� : t �� 1J����V�VV <br /> ` �� Sf,'� �`3.D�! <br /> �'^ "r r �; <br /> � a ;a <br /> �"'' k �� w �`^ �3�;"!1't�#��t14 � <br /> _ �, , <br /> } f <br /> � - ;;� Gf�� �9.�5 <br /> ,` �� � It�i;{�'���' � <br /> e = � <br /> ' �; � ' , ; �'� � _ �� t;E�t 7.4� <br /> �� � <br /> E:I'ECI�' TL ��5�.45 <br /> L��u�_TLJ�tal1,' Yi13 <br /> REMARKS: #�«�;v Cy�� ��;t1 T14:1:� <br /> 4�,'43 f�1 <br /> FEE SUMMARY: <br /> � �::--, -.�., < . — . .— <br /> !=1 _�!-1 i 1%.iiy u.� i s:i.: _?i_i_S <br /> - �a:� F�c �1�_;.��i� <br /> . r'3�ti nCvi�;�1 �'�'�. �.�; <br /> '1l,ii'Ci ic�t'��� _______ _�'s._}? <br /> �T;�t•a3 F�� �+'._'�'_� . �.� <br /> CONTRACTOR: OWNER: <br /> _-- MF��=Zic���t. -- <br /> �::1�;Ti=+�*i F'�i�►�:� Iivt: 1'�=�:;:;•�-��5 H��+,F;EIV L�� <br /> c,�:�f E EXC:EL_'=:i�:��i ��`� 1�'� Lfl;JLfi'�riRic: Cj�i <br />� i�4{ i��f-.i 1�#%1 3eI��� �7�l�if.}..�e f,,,l���a}�.��_f i��l� .'1�.,��.'r_1k i <br />. . !"': ? ' �"}'�'�'_�;�'.+'rl r1 : � - ��i. <br /> . . __.. . ' "' ". "_' `,f�.•}s.'" ' ' ". _ _. .�_} <br /> I � � <br /> II i ��'_ `_tt��11�5=� .�+y`-:71'•�.�_... :lf�i't�i-"i' {'.i�Ly�'.IL_._�,� ;_ ��iF r i:`� _ �*.t{_�f:,� �:-i y��:.I�+.�"_ � !"'�C f'-.��'ti. 1 t 1�"'�:";i_I�{'i��S`Ir��;i,- <br /> r� _ _ _ _ _ _ _ _ <br />� �, ;•�,e",-�'r!'i.r.. r. r. ,�..;...;...._ . . t .r �� T _ ��:.- • �T - -- - - <br /> .�., r�.� r J.L �. t-�=4l+ t 'i"' s i 1 _�i i t-�:. ! � !T"s F .4 4 i L __1.!-i!'s'.��.. �?. �£'1 � } : <br /> , . <br /> �.:�. '�;:'":. - c�:., i ' i f ": i-!T_.«.. _ . . . _ . <br /> t �. T 1 :r' <br /> , � [_�;�,�.,<<ji�i {;t�,'._r :i`di-�11�'r .__. ritarJ _ P ri I ;_ t_;�. �`;1 i`;l�i�__ . f i�� i.:=�j i�._�1 1�`!t_ fr:i��a.:;_ i�;�-;���:,_:��s'�i'��_i`�`'.: . � <br /> ���� �� � � <br /> APPLICANT/PERMITEE SIGNATURE �/ ISSUED BY:SIGNATURE i— <br />