|
PEI�I��`IT
<br /> CITY OF ORONO � � PE�RMIT TYPE: f.�r��;�� ��;� , -���:z
<br /> 2750 Kelle Parkwa • P.O. Box 815 ' :�:".}�`�.�i`.�``�
<br /> Y y Permit Number: i:;;i�.�,�;.
<br /> Orono, Minnesota 55356-0815 Date Issued: ��;��;��V;=;;���t:=;
<br /> (612) 473-7357
<br />� SITE ADDRESS:
<br /> .�_i'�'� t�i=1�=�i:�j F`� ;�t��� i"t❑
<br /> �+_���:
<br /> r` - ii^' i :—�:•�__ -' - :%=.t.�t,�
<br /> . _. . . . . . _- - - -. . .�._ -•i _ _
<br /> DESCRIPTION:
<br /> �'t i�ii'.i �i: :r,x:i�� `�- y!
<br /> _ �' �.. �`�'—
<br /> - �,; ; _�•r�- �= r_1 �i_i : • : { s` f �.= !'*' �- I r��`�'-I,°. 1�•.I i :t-
<br /> = t���';� ��'d� =�Y��:.� � a�t'��_> > -ri__.. :�ii-i �•:�'?f-i:._ �3(i•_ -li�i�'��.� �i�i•=•_ - I��'I.. _ _. _
<br /> " �• n; -:!_i ,!i �T�"r�'1' (; =::�: 4 �tJ����:n' �"I�_#�.,!-.L_ �I:=; =—,�;�;i
<br /> .L .•�I L I�.'s� f _��a t'�# �'Er':t .. _ __ .
<br /> _��^i��,V,
<br /> 1 �y�F;:`'�� j�E-S��.�_Et4 ��€;.;,�. ,;,��;�;�i yF-:h-j i�-E
<br /> .._ . _;r r -
<br />- - . � ���r�.i.e...".
<br /> . � . .. . ',{:.� -
<br /> �tt' ....... ._
<br /> REMARKS:
<br /> FEE SUMMARY:
<br /> t�:,:•tL`1��-{i�M��,� �'�1} ;_;r_tr.i
<br /> _. r.. ., „-:� r�•� �s' -i t.
<br /> I-; - _-. F•::.�_. �',��, .:1_. �``.�;t e... ��.� �i� ';:j
<br /> -
<br /> �. �L_ . Y_ i.e: .
<br /> =�t1j j^[�I"'{:�t 1'_'�.'� __�•i '-ti i '��_:�i =_,F, "------- _ - :-li i
<br /> _._.__.�._ �-3'_.n:�n: . ._ �?'-- • - -
<br /> `._�1_;I_i'[._�F.:_�� ����.,_. . `11_i
<br /> CONTRACTOR: �' ���'��`�� '-� =�`�E�� � WNER:
<br /> � .. ._ , .._=. . .�'��}>;=a€�}i=�r�?-- ��'��� - - -�1'=�°�� � ��_;,_�;! �ra�'�,�
<br /> ;� - -— -•�°=��_': �:�;� :��r z rj
<br /> '_!;_a i� !'_-i i� �: 1 __._�r``� ;.:�3�_�+:_. _ T t !
<br /> ��t_! If{3•;{j!}ij�T;_1�� j+i;t� ��ifi'�S_t I t�z:...i`��_1 i��f�� =.'=t;_'-i�
<br /> _ ,r... . _._.r�.. _ ._.��.., _ . _ _ . _ - < <
<br /> il-'sr ,,��.�r::��: -, f.���. ,. .,�_� �:Ft:�'t�� i'' =�:;t°;i` �Ti.i�_� �.�i �_«:�:'� :•�r= �:`��:: T; �_ „�t:,�
<br /> . .. . .
<br /> :��a � ��_ '. .
<br /> ,:�>
<br /> :x. . ,_, . . ,
<br /> r. .,.... _. .L=.'�•_ .. Z� ...._�_ ! !L._�. _..' ! i .t... ... _�..•..' •.' 3�l... . _ _. .... . _. .. .!._ . . ..... . ..... _ .�:�Y .�.iti{".: !L«.!'. . _.
<br /> _.. s`?.���- �G.:_!..7 F',�'-:?J h;',j�'•'�._;�'•_: `;_� i ii�? �-;(_,_ Prt;.._.':.. . '��` :�..i i=._ _. � _=_I?'if''C._ i ==;h�ii�`� '.�! ?i' ;'$._� _i . '_=i'
<br /> . .� �
<br /> . � �-
<br /> . «.a�-.,5...�, �-, -
<br /> �... i, ��:;• _ •� ;r••; - -:;_ c _ �r� = r_�. . ,..is- 3�• - �r.:<< z::
<br /> _t���_'�4�..) E_�3�:i• {.#�`�i�iE'�#_•E'��_� t i4�+.._ _. i i•'� i �.. !_�. :,t*•:. .--- _. . i-� �;:_ �.}..�.•_.?'�tY _`.al.P_. . .__ ,�_j S..:�e'���. . � .
<br /> L :r J
<br /> /
<br /> ���'1 u�e�-' � .�a��
<br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
<br />
|