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PERMIT <br /> C�T`��F ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 `�' �"='='���`� <br /> Crystal Bay, Minnesota 55323 Permit Number: i s�,i ii�=:=i-, <br /> (612) 473-7357 <br /> Date Issued: iiif,;''�.�'.''=::? <br /> SITE ADDRESS: <br /> _;.t.J.t'_!� ��irf���E{������_��d �.}S: <br /> I`�.� <br /> �'` � .�`� . � � �"_i �-' - _'""�_,"(3� �:f. <br /> DESCRIPTION: <br /> •-� F i��{.iF;��r: L <br /> �`i_��riE��iii-��� F`���n•�i'. T`r�•� ' ;: ��"'"'1`#'t-}� ��'>�(" <br /> ;-'�,�JrE�t;:j,y i�� W���}��:: i��«.. �iE-'_�.€_��!'.ls_:i-; v <br /> 1 ��`J�;i`t=�I�'v' i E���Ti-i Tt.l�=: 1 f��_��=f: ��?�r=3 I��{°=� <br /> REMARKS: <br /> FEE SUMMARY: I <br /> �J�; E i�:};i i ti°,� y.i , �;i)i i I <br /> =����;� l=Nt� �i:,'.�+ .t:+i� I <br /> ��L#1'��3%:.?1''a� --_—__— _�_f'm� <br /> �_. <br /> �i�i�._i� ��?i� �.��� , 3r L'' I <br /> CONTRACTOR: OWNER: — '����`"-L�}'�. " � <br /> h'`H i 4�.I4 '��`!`�Y#_ <br /> _`�s{_i.=, i ��J T�vi�'.=. t I_I{'4 ?-It,b� <br /> sli=i i i(y��'s !�i'� ���.:`�'�. <br /> ;3�'i�—`�t_,_:i=. <br /> _ � _' ls-:= _ `':=��i�#" —i—; 4 .� _f.F�� ?�`;=:ii :—i� i�f: s� � <br /> ;y% k_�t��;a;�±;.�I t.���._fi� t�y►�E�i t� �°�;,.::,�._��°_ i='��;t1 t.- _ [u i_ I�:s�� _ : :_ :;��;�`'�:���;=��-'�.�1"f-° <br /> � 'i i� � !1_I °'�i �: ; '�;i;�.;-+'; i�',i � I h. , _:!_.� }s-`�_ 1 r-!j,E�__ �':'� 3 �-; i��� t•f, . 4 (4€ <br /> `.��f-'F:{:��i t-,i: �.�6'��.j f-o:�i�:����� �r_ i____ .,.�. _ �=: ' ��. __ _ • <br /> _ _.�-—..,.,: — ., • ti; 'Tr- .^� t:"` t, ._ .. =�;} 3 �t!;,�t '',~.�+.{�tW `C�=tzs�!1.,•``•.`1 ..._i.(E :� . <br /> ;_�.,}r��E_i t f it!���i%-43��.:����� H��E.} •_��H i i::. =_►a e 1.L��!�{aw..f t I(-�j �.«: �s_rv'_ .� _ _.> _ � <br /> � � <br /> APPL NT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />