|
PERMIT
<br /> s �TY OF ORONO
<br /> PERMIT TYPE:
<br /> 2750 Kelley Parkway - P.O. Box 66
<br /> Crystal Bayf Minnesota 55323 Permit Number:
<br /> (612) 249-4600 Date Issued: `���,f;�,�Y^'+; `'
<br /> SITE ADDRESS:
<br /> DESCRIPTION:
<br /> — - — ;:s�;'Ir:!i°,;
<br /> ' � ;;,-. '�— ,-•.; r �... . _..__._ _.. . — — ,.. .. .:,= — —
<br /> ,� ?'=_1 sf:� �_ � �r�- ,.. 3 !�!'!�—�€�,f? ;'•�ir.�
<br /> '�p -;f; y1-.: . i'.-f',i
<br /> REMARKS:
<br /> _�.�,..__..� . �. ., _ ._ _
<br /> . a
<br /> :; , =.,.� _
<br /> -�-��.�� 4 ._ � ,_ . � - =
<br /> _ __. _ _ .._ . . . _ . . .. . . _
<br /> '. . . ; _:°; `;•�:__= �F , . s ._�� .—.�'.�._.. ! E``.. .- _ .. _ - -
<br /> � : t::�_ . . �:,_ •,-•.;•; .� .
<br /> .. � . �
<br /> _ _• __,. . . v. 3'i� �.�.:" eF.�.� � � ... : . . :�
<br /> FEE SUMMARY:
<br /> __..._... ._.. _ _ ,.!.
<br /> � Fy'fi.ci { _ _ ___._........__..._.'����_�s�.i:�:
<br /> CONTRACTOR: OWNER: -- F=;�-:;:�i :. ,. :,,:.:;::. -
<br /> �.. _ ; _
<br /> -:: _ :: ;;�, :, , :.
<br /> ,,�.4
<br /> ,, . . -, ; _�� �;_:�:
<br /> -. _ _ _ - - � ._. ...;#::=:--.�` __ -;�''
<br /> -"i;;°s"siv��;i ;�.�;,.� �;�� -.:.�;^-:
<br /> �.,_. .. .�_���!��a`�IfaC��� ?���:E�,'� ._ .,_��_.� ` .�� . ... .¢°' .. .. . ... M. . .� .Y . .__ . . ..:. _ .. .. . .=�y ._� . _. .
<br /> .. . _ _
<br /> ;� ,k"���'? �.a�,t�# •r.t'�'�'�''-� #t:! � r _, is � _;� _.. . _.._.=;31�t.�� .. .. - . ,_...... � _ .
<br /> �, �:.t -,
<br /> _ . .__ _. __.._. ._.._._ _. _ . .,. _ ,. . . .
<br /> - � _ ,�,�
<br /> � � "e ' { —.i i . '" f �� �J�c 4 . �V ' � ,°�.��� . ... . : .. .. ....._..... ._ . ,. .W � �' .�.,���
<br /> �:. y
<br /> � •;�- • . " �, s�a .i � _._ .._ ........ .
<br /> y ; �
<br /> � ,_ .: . ... ._ ..-. , _ .. ...i� . , •.._� .
<br /> � . _. . . . , . ._.._ � � .
<br /> /'
<br /> APPLICANT/PERMITEE SI ATURE ISSUED BY:SIGNATURE
<br />
|