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� � PERMIT <br /> CI�i'� O'F' ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 _ __ ; . <br /> Crystal Bay, Minnesota 55323 Permit Number: _ _ 4:;�,:s'" <br /> (612) 473-7357 Date Issued: . — <br /> :E:r. , � <br /> SITE ADDRESS: <br /> .. _ _. .� .,��•� . ... : <br /> r? <br /> DESCRIPTION: <br /> . ....— - - _ . '°,r _ _—.�;�_.; =— <br /> �;i.�?s _ _��`s'1'�1 ��":'�l���.• ��r',� m =. "i•��1��!r'�i'�.i.=��'�...��1�I.... <br /> u�l_S� _'s.�_al T i"�+_) y{�s_�3�F:; ��t L:�F= 1-�';—.—��-i;_.I;�i3- <br /> _ �ll':=�;•:Y f�t_i;�:� s:f.y;a:�_ i-;i_. ,� . � ...._:r I f�_��`•:T T c-tl._ <br /> REMARKS: <br /> FEE SUMMARY: <br /> �'�'�__. . . ��_�f',; ,•.i - , i-;;�;;_i <br /> ;��:�.�;� =�:,-: �; _ . .�_ <br /> =�L.,i'r.���_�,;�_�,�= ______ �:�i—. ;;i3 <br /> - -'�-'=j i '•M'--- s�i.'_. � . ___. <br /> CONTRACTOR: -- f"n�-��=�� � _����:. --� -. �._._. - OWNER: <br /> ; � :� ; — . :{;- <br /> ,:-, . <br /> � � : _ , : i., .-� � .:„: �:�: <br /> � ._r:._�.;_ _ _.. _. � _. _ _._... ._. <br /> �::- � <br /> _ . _ ,__ _ _ . .�i .�.:�.f _i:,.t::: sw.?�:,��;���� ��.:_:+ _ <br /> _.- ._ �_;�!� ;''=�;�, ��.;:=a . . .��.��°,;!_ ��'_ _ ... <br /> ; :, : -: -;�: - <br /> ' __ =�.::., <br /> -,., , _, �._._ - <br /> _ ,�; W� . ...T.:_�i: f�•:�'.�'_... .' - _. _ `..' _ }"� . ._.. ._.. _."i! ._ . ._. .__ . . . <br /> ... ' . z . t: <br /> ..: <br /> _. _ ._ _. . .. _ .. .. _� _ . � . <br /> _,:V ,, _r-_., : - _. _ .,_ <br /> _ : ;_. � : � . :.: <br /> '`=s t._ ... s�..�� 7: . -._� _.. _ i ,� .�.. .. < _:_ t,' ; .:: %!�a � . , _ _ _ _�'i!"�f._.�.:.. _?r ;�1 T i i :`.:�i?.._;.._ ?.. �� E._. <br /> . � � <br /> � .�_� F " ,.i1 i e ' " _ <br /> t � . . ,.. .. . � <br /> • x � F � L.. �.:�'�, : F � t' �� v.}, i ' i jl <br /> ^r 1 i. <br /> � : <br /> L �.. . . � . ' � .��. _ .. ..... , ..! .. ,. . . . . � <br /> � <br /> c, <br /> APPLICANT�PERMITEE SI E � ISSUED BY:SIGNATURE <br />