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� ERMI7} <br /> CITY OF bRONO PERMIT TYPE: <br /> 2750 Kt' �y Parkway- P.O. Box 66 - _ <br /> = Permit Number: - - - - - <br /> Crystal �ay, Minnesota 55323 ;�s� T:�;;;- ° <br /> (612) 473-7357 Date Issued: __ ^ _ <br /> SITE ADDRESS: <br /> 1 .?i:.�; ;��-::-_S:i-`;:i,ti:.M�,�� €:.�4lf'.;uj `tiS_'t <br /> j'�_i <br /> — ;�.:t _ .E� — — —_.+� — <br /> DESCRIPTION: <br /> � - `!7T i; (".; <br /> :;4_,{t t;�7 j�:y �=h?i'fiE,1 Yf.^ �'d r�--_. .. . _ _.. . Nt� _,,,,� �fu� ,�,.f.E.=� �",._i <br /> ��i 11 :,�:j 1 i:�_! .'�_�i=::: ; 'v�.:r=V �,,,z:,.,t:. <br /> _�:t,� _ _ �t�;�';.3'_`r !Z�":�� <br /> i.._ '.�:'i.:'�.j�_fi.j i_i s; ',•'�,H::, ' <br /> ���1'�1 ��a� �,•'i'—�,:_ <br /> _ ..�t'=��_ ,,:t_tsys�� � � , �;f_ t , �-::�_:4��::F��'� � �f•�=.. <br /> REMARKS: <br /> FEE SUMMARY: <br /> :^ii — . ... .. . <br /> —_ __ �`j,� �j,y'C;, <br /> '-`f ;a:; ;•i'�.:�'.�� r�=L;i �•:�3 <br /> CONTRACTOR: __ :�;�,r:_ _ _ �,-,r. ._ _ - _ OWNER: <br /> � :�; ; ,_;r_ ;; � - �t�=:1:= _ �-a� _ - � <br /> ; •�':• : ' • - - - - -_. _ _ . . ._ _ _.. ._ � _ _. . ..___ <br /> ,#. I'� _._ ` i-�:`:`li_t;,; .�;.4k,,- . ._ . _ ,;'.C�:�� !'i-��.�.�`':3`��-- -{ -�`-'�'•'•' .'.,.. <br /> �^3r:�l.f�...'�.? �_�..e�_kir'� 'f_ re7:) i.�.�_E _.. _. ... . ... .Ytl`4 '. ._ _, �,� <br /> . _ .. ... . '—;:'�.�� _�.�..�.i.. <br /> I T.�—. i`:;t� i"' _� :I_+5':yi..;_i ;W:'.:� ,'I_ .._ ' : '�. .. ._ ,.. _ i I�ie`� i i_` i"it^iI'�..;^. _'. .._.. �...». .._ E . .� '�:_. ..r.__. S .�. <br /> . . ._.. __. ._ _.._ . :� <br /> -�J-`�� .' . .`_�i . .''._� i-��:�. .,_.�_ t ;_! ;_�`_� :}%._._ . �.. .?�. �.`. . - . ,_ �• � M ., _ ; j ?'�i ..W �;`•i i ;-i .:i 3_ s�"_ '��y <br /> . � : � . <br /> .. ». . <br /> _y� . ;_ ._. <br /> � i..�l+.�.3 t...� !_3:'.i.i i i`.:f-�:ivi_._. _ .".F:�i t _ . . . _.. ��,i!- '��' _. . _...... ...� .". _ _ ___... _ ._. _ _ _._, T'`.""�_ �_... ._:.{''„c ' . � <br /> _ . . .. �..� <br /> G� � �rnrn��-- r�-� <br /> APPLICANUPER E SIGNATURE ISSUED BY:SIGNATURE <br />