|
PERIVIIT
<br /> CITY OF ORONO _ ,� z PERMIT TYPE: ���_c��;�;���
<br /> 1335 Brown Rd. South • P.O. Box 66 Permit Number: i_ls:y::�;�;Cy
<br /> Crystal Bay, Minnesota 55323 Date Issued: i�:�;;t�;;�__��
<br /> (612) 473-7357
<br /> SITE ADDRESS:
<br /> �1�.tj w.;TH aVE tJ
<br /> �'=:V
<br /> F'. I .t�i. �7-1 i��:—i=;—:r:1—i yc�J 1 t_.
<br /> DESCRIPTION:
<br /> �����1 �=��_;F" I P�li._F�
<br /> �'ZLIti,C�i'si�a .-�:i'fiiii.. �y;=�N ;if��?;ic`=
<br /> ���.Ufit��}.}t� i+je_.?�}:; �v F::�r� Fi��_:j(,7���ii.��
<br /> 1 WATE� °=��aFTtdE�:
<br /> ��� r � r�, ���� �
<br /> 'f'��A��'�,�4; "W Ya��� ��N� �-��' 4 '
<br /> Mr�'��'�"���,'"�4� ° ��� �, �„ x r�,
<br /> �, ���
<br /> # :� � �5f�,�F..g' �C/ -��'�i"�,r,���� .N '� "�'��lW y�!
<br /> *��"y���W$ � �N✓�� .�q��n�„�- f �
<br /> ���..� ar� r� §��„� ���� �� � ��� `��.��. } w
<br /> �+
<br /> � �� � � `� �� � r'�.� "r�r�
<br /> ,fi ` �w�e'rY;�€ �' r � k� e,� ��..
<br /> w�
<br /> �! ����rce� ���,�"�Y#��.. '�c.��,����Y ���r�✓�1�.� � ��'_"�.
<br /> 5
<br /> �'+ �� �� Y� � "� :� ���'M�� � �F��
<br /> � .. � �p� � rm.
<br /> r
<br /> t w ',� e���Ni r� °', � �m e�
<br /> ��1� i„t� �� >
<br /> iy�� r��,�� �' �,�� c �� f''7 7"v �L" i r[fi�tt}
<br /> �
<br /> s = �•.a f � i.+e uliw:v
<br /> �r" ....._
<br /> ��� d ��n �� � � �� >r t;�iit;�y�C r:z t t`C
<br /> �. � % � ..�.°� ��m.�.; „� ,�.�wr�+�s r,�� �� i
<br /> . ..,,..r
<br /> .. '.- .. . � � � ! J.flY7tSL•L 4't ! jtd.
<br /> �1�tV� tt
<br /> 'f'SF ?'1 !�!t
<br /> �.ZrL7�*Cr@4—
<br /> REMARKS: �:;:.:. -:.�l�F;�;} R
<br /> �z�,_.'.:_t•ti•.
<br /> �r � j1U�t aYV
<br /> � 1�%V Y�YIf� � N
<br /> L:Jj �� i-�����
<br /> FEE SUMMARY. Ll7W! jL :��`.�'
<br /> 1�L!•Llfl!�11jMttT1\ !'VI.�
<br /> r£�ejdm'!ej ��'�i� �f!'� �Tt}�t'�
<br /> TF'_ �it, L•l't•L t�iV.:. 11V�J1
<br /> E�t+�C F�� $:�:i3_ tlti h1FtIi._ iN _____.�___`��._�,c3 :;-::�:a�tf
<br /> :�Ui't�'iat'��� _______ ....�..,.�.{a.} T�=�•{rl t=�� �:;'� .t.li�
<br /> v��:�.?,•,
<br /> :=;t+t�t.�,�.d I �:;t; .�t�
<br /> CONTRACTOR: __ q�,F,� ���},�• -- OWNER:
<br /> ��i I�L R�i�':E�:T E; C:�:� �:�'�'��1�t4�. �'H i�L I F':_; F't��.1L
<br /> 71tJ1 i_i�`Ft IFil3 :��i �:1�.i7 �.TH ►��r'E �f
<br /> M I t�3iVEAF'i i�._I°=� t�l�d 5��'�Fs ��1���k�1��� t'!N ��:;:;i�,
<br /> �..,_ � t:i=,# '�''7d7:::—�7:v.7
<br /> i f=, y, 3 '�3�_'?�— }�1.i�.:�. .
<br /> �—— - --------._�.�
<br /> — --___-------------...----_.�--
<br /> E ('� _,_._ --�,ts, �T
<br /> _�r� _ ._ _ - � , 'i_i �-` � �`-� �� �
<br /> �i'I� 4�}Iti�IJK�i1•�.L t�{��CV1.J s`"I�i�.i+�.�?1� ;?�iyc! li:_,_ �'_ . =-t1i �1�_ _�.L�_S a 1 �� ! �—�i � i �'1C t�.i�;i.__ .l',�''"� ._I�. �3 _ ^
<br /> _ r�w.r, r TL�_r. . T � } v t :
<br /> j ��["E...t.•J.�' .f.C'_L} !=i��l� !=!lrF1L.="�w i %{ �y�1 f=�:�i ,t,�:`�_�i'iT��. i i`� ��..;"�!.5.: # t_.I_tE-:_�L_%i;?'3e_..i". �:4�i i�"? f—�1_i_ i.� � i_Ii—
<br /> '.�# �..fl�I._ �yg� _ � �+�' �� , S~•'Y. !— t- t'
<br /> i 1 �,i i t � _=sa.l.,.t��{e-1r•1�:L•= Y-f ��,I :��t—i !r= �j�" i��.i`i�`3�:=�_�_� 1 �1 ?��`•_'L�1.�i�'-:`•.7 :�_4�_1L= 1'.�'.:_•si�•_)L;'iG�iC.�`��I I ���
<br /> t ', /
<br /> �yYL.��-�-�t�-- �./���-a�r2./
<br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �
<br />
|