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� PERMIT <br /> CITY �F ORONO PERMIT TYPE: _ <br /> 2it�0 Kelley Parkway- P.O. Box 66 Permit Number: - - _ �� <br /> Crystal Bay, Minnesota 55323 - �' r'� <br /> (612) 473-7357 Date Issued: _,�Y,;_�; .:�.:;;: <br /> SITE ADDRESS: <br /> .__ :._ . _. .:T 1��;.�r� <br /> _,� <br /> ; .,, � ; -, - <br /> �,,_, <br /> ; .,: _... : ; r,- , __..�� - <br /> :ii <br /> DESCRIPTION: <br /> : . . "�.p��l=.-��� _. .�.._. t- <br /> ..� � T �� <br /> .=+�;= �•_��i^� i'`���'i!i i�T ,�; `r��;-� _�S—__t"i�l� := t i"S3%_•1�_�f Si.a <br /> - � �^ ��i�y:�j� <br /> {_'.i s `'.i!F`i �7+'_.i i'i:� � :'t'"_r,? .•!4 ! __. <br /> t F��';,�. � _3r S,.�i,G:�;�Fl7.W� {'S;'"'�i <br /> �.l~f i�S::e#�.�'i_�i�',,.�,i�1:i i �:L�iw- f i�:u ` <br /> i_i E��.'L!!'? !��'�. �.�.{'t <br /> :i"�—i• <br /> —-....�1_J'�. r_•���t��__ _._._ ;_{ ; t-;l;�-; �Cfl_S('yr,F,:,.•_ . <br /> REMARKS: <br /> FEE SUMMARY: <br /> .:;�::,_--`-`���`�'=�l:.� $i ; ::a:_;=�� <br /> ."�:n�.- . �..: . �� . ��; <br /> �`'=�_�, �'�:��?.F'w �:�t:i , s�-, <br /> `.�;I}i'�i'scif''=:� ____....._ _�r.�mil <br /> +j:,y:..;4 i't=';� y S�_ — . — — <br /> CONTRACTOR: � OWNER: -.. -, , _ _ _ _... - <br /> _._. . . ... ..,. I'f 1�_�,��'-i�L <br /> .� .. _ _.;_%f:r 1,,,7 t;;'._- f;T I 3%�. <br /> _ _ _ �:, <br /> , _ �, � <br /> ��, � �' � <br /> _ � Z,� i '� �� �ar�"t �." � �„' ; f f a i f S.z t�•.� Y <br /> 3 <br /> `,. _� <br /> �� ^ 3" r ;f a �..�..�. . +_ ' �,�w. ��. 1 � �'„' � i , F _ 3 � � _. . �1 3_i f°.. <br /> o ��; f F <br /> •.»:� .�� t�" � . � c f e __ �_ . . � - . <br /> , � � � } = . �. . . . . <br /> :_ .� <br /> ,, i�4�3.,.t .�_� ��.c�?1 g.;—�;ir_L_�_ s�r�E�s .��x�-2� c:. ._' ���_. . ,�:_y_ ��-�y_. _S_._ �T t.»� _ ..._,... . _. ,� � � . . . <br /> . , i <br /> > 1"- `i� x � , : `< <br /> � ' . � „ . ... _ � <br /> � T �/ � <br /> � <br /> APPLICA ERM EE SIGNATURE ISSUED BY:SIGNATURE <br />