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PERMIT <br /> Y OF ORONO PERMIT TYPE: . . _ <br /> ,, Kelley Parkway- P.O. Box 66 '';`t�:r�F=:`x��;���_ <br /> Permit Number: <br /> �rystal Bay, Minnesota 55323 �;i 1 t���� <br /> (612)473-7357 Date Issued: : �.;#r;:;,�;Y; <br /> SITE ADDRESS: <br /> :. _ =_i`;:ij;ii_i s tit'i�_�;;-�1-t�i �'=J <br /> I _ ._ <br /> - _ . -. . . =`�-� # ;�-__ _ �-•i?i.�'t�' <br /> DESCRIPTION: <br /> _. _ . ..,. _ . _ _ =-}_l IF' ��t�;� i=� �=t J�i ��i!E i�';#;L t=iF;'�: <br /> ;;°-�?��.t� `�t�'.1'£—�!'��{� �1��E1�'`� _ _�i ��4flWs_�i_�{.;�,:.'j <br /> ' REMARKS: <br /> �� FEE SUMMARY: <br /> I `�lHt_�.4f-�TI=_t€�f '��.i, ��.t.�: <br /> �;:,i_:�� �r::F� �_;� . �_��_� i�}��L_ �f1# _..._�_��� �'.5._,..�';.<< <br /> ='fjll'�f t•�1'"��=' �.__.._____— '`.`�...�.,iR�a,:f '}yt�.._+�, �=r�:� —�.-.� ..t�`i <br /> :,�f.�_t T.t�l�_,_ � : , :.t} <br /> CONTRACTOR: _ �;�:�,� ��.;�,-�f. _ OWNER: <br /> ��;.�t.��i I`��=:: �-�lr�� �� ;��� �'_�� _ � �:1'�:�i_�i=� j 1i_1�'i=`�i��' �1�I�•i <br /> _=��t�'! 1�Jl,-�`,I E �;'i_thi'F�-S t�`�Y`F - :-�t 1 I_,31-it i�`,�i_i tmif-;i_:�-`'s,�"•�f-i;�) �if j <br /> i•:i iV!y`ri�'iii_j°_ i*i��� _����';_�—.�_;�4 s�kr�l_#i�ii�i .;r,; ... _ �.�`��. <br /> {.t-,1 ;`,'s � ��� —_:(_lf_it�1 :��`:_�—_'��i;=� <br /> �,-� .— ' —�-•- —- � ... �, i � � ___ _ �T _ �; � � <br /> t t�'•r. `• 1=.,j���`.i=._ _�.7;`�j:`_�..� 1'1?�i�`.�t�..�'t' �'?�t;�.:€t..._ ! •`_ i`'=.�i i = �': �. _:�li� ;��! �"!��#��.,� �#"'[r_ f+'.;�i-�a._ .�;.{ � :.. � i ".i"# ,. <br /> w+�'':�i� .�.�_�} , .c .t_;` .!�_.hh�.:�� �I_f i)I_� G�:i ;_ �•_Ih. . i�v _ . �.�d � i.i_i. . 't_�:�F'ai.!- ya,t': � !"i 4i_...... f..•_ . . r,�t'" <br /> . .. _,._,_ .. .. . ,..,.__ � p �. : �—_ - • � f, .: �}':?3 4 i 3 5-� . <br /> .. ..n . f 4. i~~ _ <br /> ��3F,;i_fj`�;; •_th;�,:i i`•::-;"•�'.w;_:r, F-,1.�J� �e I y�•;�l,� i ; i (4!—``:�.i . i"'i 3,:,-�(.���..._� 1�`.�� _ ._ �.._ . . _`�.. Y`�i 4:' , I <br /> L .__ . J <br /> , • (/ J ���/�l <br /> ���� � � <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATU <br />