|
� 1'ERMIT
<br /> � �;ITY OF ORONO PERMIT TYPE: _
<br /> _ '50 Kelley Parkway- P.O. Box 66 Permit Number: "._:•_�; � �
<br /> Crystal Bay, Minnesota 55323 � �
<br /> - -
<br /> (612) 473-7357
<br /> Date Issued:
<br /> SITE ADDRESS:
<br /> _ �:_:�t _. .__,_.:.°°,� . . . ..
<br /> ;:��
<br /> DESCRIPTION:
<br /> �,��;,�_�.-�,� :w��r�;��. � . ;;_°� �=�.: ���,�:;_...
<br /> -r. �_ . _ '..� _ _-�. �t
<br /> �,.- tjTt7''<i,i�_ ';{:.ji��:; . r•�-r• :i-�F'�_i:S:f. .T.�. _. . �E4t�
<br /> � ':Vf-�!C_�; `.-�s:i�-�1"t.�;�t� �
<br /> REMARKS:
<br /> FEE SUMMARY:
<br /> ,:r'`•= �.i�,- - -
<br /> _ _ .�._.,r �:: E; - -
<br /> ._:..._._ .`}_`_ r•_J . .L� !+:x: _ _: . �_._.__.___ ```- !�.i�i
<br /> _�L�i��l.i-i=.E�1 �__�__.__..�_ a'^ I i;_<'i�.�l f j=j='�' _ . �i�i
<br /> ;:3�t't'�.t_!�.;1�, ` —i-� — —
<br /> CONTRACTOR: _ - '- �-''�'`-� - OWNER:
<br /> _ . - -
<br /> : , ;
<br /> ;, , . � _. .. . . _..
<br /> ,�.
<br /> . :,..;:, w,
<br /> .._. . . __. .: . � _
<br /> .; rr.�,.:,,�r— �� -r-•-� ._ _ .._,� r.tr.; �,,�=:i=.%,
<br /> _,a: ._ . _�#'?`��.i. . _.'�?-�.=.i.:= .+�-:1_E;�... . .,�3 . ._ .. _
<br /> .. r i"t' � ',` . '� t F�.. . ti �� ,.,.' � �,;' . . . ,. .r .. rr�_# .rk_ } .� .�`.�__ . . .r... � ....:'1�._. ._. . � .... a ...,. .}._.'i . ...
<br /> � ... ._� _.-i...�. ._ _ __ -.�.J.�. �.._.�-...�.._ f .._ ..,.,, �.... ...� .J :� __. .. • . �. .
<br /> L� ,�- t...� c,.;�::.' . .. ._. ._.. ��{�i f..yF_ . .......... .._t.��.7�•. . . « . , _ `� _. .. .. ........ Ff E S
<br /> � :- c fY -� :: _ � :���
<br /> ' ` Y'_ _ :.. .. .,'. i
<br /> .,� �. _. . _. " _' . - ,_ �.�., ., ... .3! . :X...?_. ... ... . ..i
<br /> .� F
<br /> ",:._ '' " i:: . �,>E �� T F. — � _;.. 'k "�:
<br /> . i - 3 f..1� � �'�.'i_.. 4'�� � ���+,� . ._.y.-7,._. ... ��. ..�+! f : . _ . . �' �. ._. ..rd.j..
<br /> +
<br /> � �.?3 t.r���� � 1 ..._ +°i : . �. � . ........ . . .... _ _ _ , . ,_ .. .. . .
<br /> �- . e
<br /> ._. w, ...._ ,.. ._ _ . . . . ..... .. ... .
<br /> ,
<br /> � J
<br /> �
<br /> ��
<br /> APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE C�
<br />
|