|
� PERMIT
<br /> CITY �F ORONO PERMIT TYPE: , ; :�;;
<br /> 27�0 Kelley Parkway- P.O. Box 66 ;`;:',�__�=;1_;;.;`�v��
<br /> Cr stal Ba , Minnesota 55323 Permit Number: _ _ _
<br /> y y Date Issued: �-�°= � � =�� " '
<br /> (612)473-7357
<br /> SITE ADDRESS: '
<br /> ..� - _�� ,- - �:�;�
<br /> ���,�;�_� :_��-r�.i:s`�i�t_.��y, .
<br /> _s::�
<br /> DESCRIPTION: I'I
<br /> `r; _ _.
<br /> �..yt,1�4 S:M. . ��.' . _ �•{�'— —. . ....�L...
<br /> .. ._,_ .f. ._..t�i:' _"']a�'tl1,7, }. t �i-'N (_�}�(�rj.....F„�:('i,i�°�j*�� t!a'�.L
<br /> ,; ..,;; i ��
<br /> i. C.:=�yt:ii i!�Fl��;i F;�T°:f_��„iF[
<br /> ;-�S;� I ��j t"I•�i �it;i i:'}; { ��=is . . . ._. . _..
<br /> :}���. t�i t_[4�(�=;�t l"1 t�1� _
<br /> (�.t;tt'7{;f.S'1.(i�'�.7 E_;{—� : j���:i �'i'y
<br /> •-.��ll���:� +:;�f.;t.� `�_�.? H�� . !�}%�f�`'.�.`_`�� .
<br /> REMARKS
<br /> W , ,_ . �: ;:. � � .� �
<br /> , :_.�-.: �.j �'F�,
<br /> FEE SUMMARY:
<br /> ._ _.� � _ ,.: ., . , ...
<br /> ...........r r"'}�7;� . ', .'�'.+.i_'.�.� . a:.�
<br /> f-' 3 �;t i .�'v 1+�:'�' I, T f��Er. . ?�,
<br /> +i'�i i•;i'•.'`�'= _.__._.� _`�`sts.�.�tyf
<br /> 3'F�Ei..a i �=r;:� T��.�=�_� . _ _
<br /> �� �A ��?:R� v ` _ .� : �: . .0
<br /> : ,
<br /> � �
<br /> . , ;
<br /> C4 R G �_::�;�°`; �. � i..�. ; �:��.;;,� �M�R. .__��f'..�f�?"�
<br /> ,.�. . _ __.,. .. . - .._: . _ __ _ . _.
<br /> _. . _.__ (�':_,i:-._i"r_j..;I=;yr3 i � _..._ _ _ -�i-;}-t�t�!'l�{_;1_t(,1 �;11
<br /> r t - _ ��_.�i
<br /> d£�r�.I7�'�eiyi ��ii� _ ..r i_�� _. .���?�"� {��?ti .� .� »� _
<br /> . ..� .�i"FSt'"
<br /> -••- �. ,:. ." }�..F'i i:...._.,._, : � ' i;__ T'. SC� �" .•�S� ._ ._.�—ra �,isj � f'{
<br /> _.... _
<br /> s t { _ d :_ �.�-�4;�- �-il,�;-3�, ' I"`f;- , ,
<br /> : �.w �: ..�t....�.� _ N ,._�: !"1••`.�t':.._�� c .._s.,_ , ; •.: , .._, .' _ ' _.,•� i�_ . . . . _. , _ . . ._ ._. . ..
<br /> _ ,,. t {
<br /> ...ai. � . I� ��.�P'"�i� �'. ...+ ....�?!�S��L�..��1 � M� _... r ».. .. . .,..s _. . . .r�_��t .. ... . ..-,�� .... �.a.�i . . �''t... ._ _. i . ..
<br /> _ . _..� _ . _ _. _ . ,__ . i `i "{,tt:� �,
<br /> i� - , r''_. ' _ _. . . . ._ ,. ' W `- �..r� ... ,._ ._r> .. .
<br /> ._. ..0 ... _. .�'r.�: . .�__ �l��f.# `�=.I _ ,�.;�` �;i_i�f 11 i I�i'•a ' '�'�.1�.-. �i`.�'>::! . i =:
<br /> �-- I - /
<br /> `r� ��_. :
<br /> �(
<br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
<br />
|