|
� � PERMIT
<br /> �iTY OF ORONO PERMIT TYPE:
<br /> • 2750 Kelley Parkway- P.O. Box 66 Permit Number: -
<br /> Crystal Bay, Minnesota 55323 . . .. , _ .
<br /> (612)473-7357 Date Issued: _ Y
<br /> ._�'"5
<br /> SITE ADDRESS:
<br /> __ _`'� ��i_t��isY�`�°�:t�i�ii�'_; �Fi�`.
<br /> -_i`;
<br /> _, _ - - -
<br /> _. _ _.
<br /> �. : _ :. ..:_
<br /> ; _. - _ ; ..._. : - -.. .
<br /> _ . . . , _ . � _.__'i.(„1�..
<br /> DESCRIPTION:
<br /> i��:.4�' ���:i...',; ; �:t-�``vfµ:�
<br /> _ = i=..i I; '::�i . ._''t��ig y'�. �f•;—,l, ��E-a�_ ��-a�°;S 1 ��—�1��;_Gi
<br /> C'�E�{j, ;�i1 i'1��: lLf���1'`€:; i i�C.N-1 f;`�=`�;T1j�'r:i:_.f_
<br /> `_��_.t� i_;���=?�f;'='•�?ll�=i'' �a'--'��
<br /> i:i_i!"�•�'�.i'E.�i' 1;,.1 i„�ti � ���t'; tE►:i
<br /> c���ll 13 f�.= �'l`'1 r:}
<br /> t,'t:S-);`t.t� �.�_t�"'Es�.s 1 {:j ; _. }-�;:i_ f.`4_ 1 t=::.}-3
<br /> REMARKS:
<br /> � } , ,.. ,�., ,. . ;:. . , , - - - --
<br /> ...
<br /> :._. , _ �. .
<br /> � . . . .. . .. . ... : .. . . ..: � .. . " . 1`, 1'`V
<br /> , , .
<br /> - i.``.. �':._ :. : . . . _._ . ... _ .�. .... _ ».. . .__ . ..
<br /> --: : =,, y,.. ti _ _ . . . ..
<br /> . ._..
<br /> •_ � ::
<br /> . . � � � ;
<br /> . �..
<br /> '�, ....t: . . _ . : . ._ �., . . . ;
<br /> FEE SUMMARY:
<br /> �t�:�",:._�_, . . .i+�. . . -. : _ {:�_ �
<br /> _ �, -,-.
<br /> � .�...�F.� '.:°j.: �,G . " .J f ' �
<br /> �'1 �t]} Fi�_•,:I r::;� 2,� G:,`",� . f 7'
<br /> ^t �'3Wi't_ ' ;.�i...�•.
<br /> _=..i. �.! `�i'-_' =t>.>..�.},} (�'�(�i
<br /> :-�f'i�. {�,.��-:�:'S, t 1�1
<br /> �=��-��� .. ! t i;.i
<br /> '_;�=;I; i�;"i i t.�� 1
<br /> I �::�i_.ril ��F_ ____._��,,_ y _-:=;�:
<br /> CONTRACTOR: OWNER: -� . „ r _ _ _. _,.. _ -
<br /> ..:._. _.. . .:�:;r�:_ _. ._
<br /> _..m .. �'1 �j_�. .i'S !�LL_�..+ _:L' i�_�'�.
<br /> . .. , _ .. ... . .
<br /> :�i"�:
<br /> ,.: ;.._ _
<br /> -r•= ,(.: , , s �-�r�, ': { .�`-� ;'°- ._. . _ . �i � ::;,, _ ,
<br /> _. , . ..
<br /> .,... .. ._ ... . ... ..,_ :._. ..__ .... , � ,
<br /> . ._ _ _ _ . . .._ T. :; .__ _ 1�.. ''._ __! ._.. _
<br /> _ � _�_ �:: � }.,, ._, .
<br /> ._t5—7..�_. { i ��_.� " . ..,,.' «...,.. ,:„s... t '.? !.��.., �".'...� �f�:_ . .. . }If} .. . ,�. I.�... ;_��.,_i.~ .....,. , '., ,.. . . . . ._,..-.. _ ... .. . .
<br /> _. L„
<br /> _. _.,..,_._. . . .....r.. -
<br /> ,, '�.�` �..' .. ... .:. .{.:1�'�� '���`�,..� .: : � � E !� �._f! Z_3 1 4 ,si T'—, —
<br /> � . . :�. ..._. . _ . _ _ _ _ ._ _ � _ _ ._. ..� �•_ �
<br /> , ��_ - -.)
<br /> APPLICANT/PERMtTEE SIGNATURE ISSUED BY:SIGNATURE ��-
<br />
|