_ � PEI�MIT
<br /> CITY OF ORONO PERMIT TYPE:
<br /> 2750 F�elley Parkway • P.O. Box 815 Permit Number: k�� ��F ���� �����}
<br /> Orono, Minnesota 55356-0815 `3`;,�`�'��
<br /> (612) 473-7357 Date Issued: i�:�r i-E�:�
<br /> SITE ADDRESS:
<br /> ::i;��;5 r,TH �t'�E ��I
<br /> ,__::-�
<br /> -,:�,_, , • , �,�,;;�
<br /> - . i . ��� . � �_ = 1:=,—:�.=,—�.::;-- ._�.
<br /> DESCRIPTION:
<br /> C��fiiC��fidG
<br /> !�sN i� f'e�'ri�i t. i y f�� Lt�i�di� r�LTER�T I i=�i�E
<br /> �
<br /> REMARKS: -f Y �r J�F,=�+l�
<br /> _i � e v� �e+Sver�r
<br /> -�i�i.�ii�,� �i��1��
<br /> ___��;��vvi�v �
<br /> --�---- � - -----�----�--� -- :LY lTi: G;i ri�
<br /> V.R 17 !T
<br /> FEE SUMMARY: -���`�• f{ �''_`u�
<br /> L•!lL47 fL 'VSVV
<br /> ei��i�i�i�""iee�nii i�vu
<br /> �:-%;:tt i•�r"�f "ui1� 7iti+tl�f
<br /> 7f�ti.t�'V 4 L�1 71t!1 11V•V
<br /> .. ... .:.T.. . [ -
<br /> , :..:. � : -:�-:[.� '"':.i{� ���F�� V�J ! /J
<br /> .. . ! !Y :l�i
<br /> - ::. .: . . _.
<br /> ._ __ _... . _. .. . a.r_s.i: �1
<br /> ......_.._...._'_._`.._'.�.�
<br /> .... '. . :. '..;:::.. ,:f:_��"; "5i"`
<br /> t
<br /> CONTRACTOR: OWNER: — �:�°���. ��-��'{�� —
<br /> �1�I i�IHr�iF:DT ���iV
<br /> =:5;;� F:'I H �t�E i'�I
<br /> }������•��i ��ll�l �,�:;�,i�,
<br /> �,.;: — —:t+;}r"�
<br /> �—�--�—,.: ,.- __, .._,_ ; ._-,s �:-� — _ _ ;s��•,a F— —
<br /> "�":.�._ � jf,��.y�.�-�:_,T�,�,�;' 9 � :—f•a`:�-i.;;';'' i;1_t��•_�3._.��T-=' `��r=l"'.�'i !�_ _ _ _.�a 1�1 1'�i—ii;.� € ��__ �"t�`"�`-- _�`����"��_��L�'���4 T�
<br /> • s�� 'f . •
<br /> • �:._._..... � . � ., s.. ' .
<br /> . : .:__ :.._ .
<br /> _,�,,...Y�. .(.� `.t r:�•��, >;� [� -: �...-• :., i t i,-�``°�� �s:s _:-i�F�f E. 1. :?'fi � -�.�i-•� }�:� i'� '"`:f [ "�:i;�`• !'1�:
<br /> _, _ _, _,_.
<br /> �... . �f..L e..,�V�„' }'i 1�)r`���".�� j " � � i i-:� 1� �i"i
<br /> _ _.. 1
<br /> �"I' E ! � �_. E.'_, . .6._� . i . ` ... . _.
<br /> _ _,.1.•_.z .. _. .. . . _. . �.!. , . . .. L_1"'.!�`�::« t i'._.»__
<br /> !l�zl��;fl 1 t l;�`� 't'I�i� ia i�' �=' ;'.�'•t�i i _ • ' : # 1�- SV,�f{-,—;j.{.. ,3 � � . , s�£ �,�`- t;`=i,i!S��,���ij:-�-�;-_
<br /> . i .J : �1:4�.:t.�.: `I a:_r i i��3 I = _� �4 i. is...•_ _ � H � _ � _�i I��••.7 _..1+... s. .� i 3:.._, �
<br /> � -� �
<br /> � �/" �
<br /> �.� -�� � ,
<br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE ,Gt7.�./J
<br /> ✓
<br />
|