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PERMIT <br /> �IT`� OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 °�:�_t:��•i���:;t:�:;;_ <br /> Crystal Bay, Minnesota 55323 Permit Number: ;_� , �r, <br /> ; y-�� <br /> Date Issued: _ ._ . ._ _ <br /> (612)473-7357 ���_.�`:.'_ �':-�`�.� <br /> SITE ADDRESS: <br /> xF�`=?!_' i`t�_f:`�:f+� ,-i;z`.{'� 41:��: %€ <br /> ��3 <br /> . . . . . . f '_.`_.3. � _��•�����'[3. �i S <br /> DESCRIPTION: <br /> �=;�;7;�E;���' _�:::,��=:: <br /> :� ±`�t,`1;�iy`� f�i i't.. ' fi?°a,`::. i;;�i_ . ._... ._.�-}j� . . .. .. . <br /> REMARKS: <br /> FEE SUMMARY: <br /> ���;l„i�:F::i j i_i[�,� u.t � =�i i <br /> ,�i.! <br /> �-',�:�w r�:j . ; _ . �. _ <br /> _�t.{)'fir";�i'+�a � �= <br /> �__._��� • s.a,:� <br /> 1 i�t i.;-: 1 'F=� 9:. L: C=� <br /> CONTRACTOR: — r���_ � _�a f��:. -- OWNER: <br /> �, �' � _—. <br /> _._.. . . _ il��:t`w�''•. �_3i�. _.����,�r�t_ti�'`+1 �'iri�._i�..,�._.'•(u_3 t':tY-t.��.4�.�$� <br /> i—' .%1 . ._'J:-. .,::5'. _ u.':'it.� ;�E_fil'�i-i ?-??1!'E ��: �'.3 <br /> �ii�t�:�:j��!'-�i.i�.:l ;. E�i:�E� �'�'.'���` i_=�'�_���li_� . . . _ .. _�,:�. <br /> i_r�i :�.' ., _ _—{_!3."��+ <br /> Tt��: iJ�;�t���'.��3G�E�i �-;�#�.��AY �i�i:��_#�w+T�� �-��—:;1i`_:=:�i4� �_ t .. :�.::� : �:_ �-=�:� .�. . .,.;f,:yt��_���,'=; <br /> `:rF'�s:'I F'i��:t �i�iL� i=�+�h�.E�� T�� �t�W+ �►C..` +���f-'r.:: �t�d :_}i;�`T L: � {;. ��;°:�-°;�i,-�#�� -y �� i��-� .}?_�.� ��i�'r �=�� <br /> s_t���t�v►_�� +t�iC.i I 4�r��i{:�:�� AC°,��� =;�� i��' ���� t9i r�.�(��'�:i�T�1 E�{��1�._l.t'�:4.� _ _+�._� s:_. . . . . :��r'" <br /> L -� <br /> 1 <br /> � ��.a�. <br /> , <br /> APPLICANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />