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PERMIT <br /> �'����Y OF ORONQt - � PERMIT TYPE: <br /> 'r 2750 Kelley Parkway- P.O. Box 66 fi'��..s��H�?���f��'��... I <br /> Crystal Bay, Minnesota 55323 Permit Number: i�f t i:�;;-;t+z <br /> (612) 473-7357 Date Issued: t_ir.i��:,��_i <br /> SITE ADDRESS: <br /> i s� _ .- _�_j«;,; € x;,�;�'i-� ;�;�`= <br /> �'' '- r:` _- - - - - - ;-.�,� I <br /> h-` . _. . . . . . _ _ _ _. . _:--.._ - - - - <br /> DESCRIPTION: I <br /> �'��:�►i�`�' �I�:°��='L.�:s:� <br /> �. F I R��=`�s�{=� Ft!E� �dr�i i 1;��L ::�F�°;= ��i:=�t��:t.. tv:���`�:?_E+��t�� <br /> �*II_I{�3�; {;!}�'��ft( <br /> � <br /> REMARKS: <br /> FEE SUMMARY: <br /> ��'H�.�!HTI+��tv �:-° ,i;:;i; <br /> L:��� ��:� �:�,E , t�t; t�fNIL Ii�E __--____ �: �,ci <br /> __ a_�. <br /> _�;•_ �, :. _. � <br /> `-,I i�'{��'a�{? _�1�.�..�.�.�.3 �F,f�..a� F�+t� ` `-(1 <br /> `•==�.�D�.E s�..i� _'_"------�.�f_� ,t_!tJ ' ' - - <br /> CONTRACTOR: — H��F�1 i���it. — OWNER: <br /> F I�;€�P!€��;_ t=�Fa�T,�� _��..�:=;°_�� �-11_ii_i_Ii!f�jr,� �,i ii;i� <br /> ,:; ; :1 lt-i i !1C.;= I i:s�� L I(�,�i)�; �;�,lF' <br /> i:L1�.r�i:� i�#, . ��; . �=� t__ L ,. . _ _. <br /> t'{I t�i���.T$��t�#��:� ;1{d =�::,t_,� t_i}��_��,���; �•�t� ��,=.r,� <br /> t i=.1 �:�°"i �:i�—'=-�'=;-t <br /> c • c � -�;: c�- _-- ;;;- _ r- E F�-�i: <br /> T}-E__ i 1���7��'r:.�i�„i�_i_: ,i�=.�i��, , �'L_tJi 1F'�:T°�� ��.�#"i�`_;`_;T iWlts i I�( , ..;t:;.� T�i` t�:`.�-�3 ._�'����:�t�'v`, ._.._`�� '_ <br /> :�;�`�t=I�x E�,� ;=jtd;�� �i�i�.��`�� i��� ��.�► :�i_..�. ��sE_is�°��:: i=_� '��i�°I t��i ���=�t•is�=`�I s�;�;�:;� _:��i i!� r=�;� t�{T��� �=li= <br /> L =i�;'i`th�t=l i ih[i:t,�ytvt:�'�: �.1t�C? `_���T� ::f� t`s.'f�v�,i�'.r;,:;i t"-; 1�:4_r;!;j T f�,i:� i:!i[..�; ��._i��=�I Ftt..�''��;;;�! ;'°w: . J <br /> �y��/ � <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />