|
�'ERMIT �
<br /> CIT� OF ORONO PERMIT TYPE:
<br /> '�750 Kelley Parkway- P.O. Box 66 ; �;�;...;;�;
<br /> Crystal Bay, Minnesota 55323 Permit Number: , �-J _ _
<br /> Date Issued: ��" -
<br /> (612) 473-7357 t;>:i,`__, - .._
<br /> SITE ADDRESS:
<br /> �.L:=�,�_ _.;���-ii��°�� i=�# �°t�
<br /> rs S",=�i - - - - "—•t)!1 i�
<br /> DESCRIPTION:
<br /> �E�;=�L'. -.=�:�:r"; ��==.wT
<br /> `���I I �i.�t 1'=.�`-1 '=r=.'2,f�'t� " �1'�;}_` =�i'�^l�_:..� ��'E�_+!�_��'_s�'C��.
<br /> E-�S.i j �,t�1 :"l u �;�:_�'t,'F:: E j i�W' ��Ef_.�.�'.�,'��_ii_I`�.i� �-,��;`:�R, i
<br /> �_='1l'=f.�l': _�it:�;r ^ -::� �V°_;F',i;�;��3�j ��!�'t';.t_.I ,
<br /> I REMARKS:
<br /> � � ;;;:: - - - -, ,:� - - _ - ��,
<br /> . -�°�'4 c � . . ._..__. , �_�r. �1�-; � _ _ i�_. _ 1!-�ti;'iw!i_:i�;t; _t;...i r �i.: 7 '__ � .
<br /> FEE SUMMARY:
<br />� ,S`-. } -_ ,
<br /> . ?'7S._�7'"i�?+�}?ij .-'�,v 1 ; (_I�j_i
<br /> � �.�..� �';.=r' r =i,(. , f�
<br /> `"� I ri i 3 i F-_ a' ';� � ��'�
<br /> f?%':`. _ 'b4' . ..__ . _.
<br /> =�3.1ti'3�f-tcii''��� _�.....__......_ 3'• . �t,,,„1
<br /> �t�t7..-��, t-=+%�' —�_.j....�.'�
<br /> CONTRACTOR: OWNER: _.. �:;�: � - : _ _
<br /> _ -. .;`•.{ hl;t��'�:
<br /> _ = _ �, r;i=s�:t;i:=: :'T �;f;
<br /> . :.ufs�,{-� :.it.,� - - - -
<br /> _�4�`.... _ - _ -
<br /> W "�� t ",'.� "� ,...!.e-,-.4 ii�h�`.��{� . ..._ .._.� . ._ j'"'.�.1°, I ._ .:.s. ._. . ..E.;_` . . . ...._ ...�•4 �.__ 't,��f-;� i ir;�-` �;i;`A-�"
<br /> . ., �L.., .._
<br /> : , _.. ._ _ .._ . � � ` -- - ._ .,_ . . ._
<br /> _. _..__--. ' . ' - - -'
<br /> . . . . -. T S� .
<br /> :�. = i E-�; :�i'v_� :..� �- ; f 'J':v; , _'•�-:; i .`,1 - -,'�t i s .... �' _ .. _._ 4�`!� . . +``-__ _ _ . . �_'.
<br /> ; ' F `r �'-. :� .1 _�y. .t i i::. ... v 1•'1 E .. ..__ _ i �"' -;t_'3 t_�_ 1. .._ _.F___.. ..�_:1 _. ..._.. ,.._��{'� �`_ . I
<br /> :";.,� .�j",
<br /> i
<br /> � _ _. � ._ ._•� -f. .:�._ , ;., . : . : � , ._ J
<br /> i _. . _ _ .
<br /> L_
<br /> / \
<br /> C�1.il,M. ` • �"�.►
<br /> APPLICANTPERMITEE SIGNATURE ISSUED BY:SIGNATURE �
<br />
|