|
PERMIT
<br /> � ,�, ORONO PERMIT TYPE:
<br /> 275U Kel�ey ��arkwa� - P.O. Box 66 : _
<br /> ^ Crystal Bay, Minnesota 55323 Permit Number: _s__ _.
<br /> Date Issued: �' ` ' `�` � �
<br /> (612) 249-4600 i=�'=i,':;-.-:,:.�,�:
<br /> SITE ADDRESS:
<br /> -`.� ��:`�;'7' - __�._ i'`.�J
<br /> - -:'1 —'s i;'- - - ::i't;
<br /> DESCRIPTION:
<br /> .,.. �' �.�., ,: , - -
<br /> - . . ._. _. , __F.. .._... .. . .t 1: . .__
<br /> e S;i,ii�F} {�'7 '�1'i}'f 3. •'_ E i`�''r'' `�'_i`_�_!*_��� .... '�.��:,.`!"i
<br /> :-'i �_....�.i�.:�`1 �,�,!�_�i'1;. � ;i;`�= t•�i�._71.!T � _._6;'
<br /> j, i_��•��i�r=1 iy`�''
<br /> REMARKS:
<br /> FEE SUMMARY:
<br /> . ���1..l�:�:,r i 5��[�,( =�.._.�i
<br /> t��.'=� i�='�' . _ _ . _s'�'s
<br /> �:q~,
<br /> ��~��tL.'i i'��h- ��_.+.�..�.....�... _.... �
<br /> € i_{T.�i Y j"r,�F. ... ... . ��t i
<br /> CONTRACTOR: _. . - _ ; ,__�.;,:. -- OWNER:
<br /> -,�;r:. � ,-. -„� _- - : - _ __
<br /> � ..�': •_. ....9 '. ,..'. ^'4 ,_.,_.:.,.,;.^; +;..t;r'H'..; _ � . _ . t���' ' ' V '.,E;._ _ ._ _
<br /> ':..{ ?_{L
<br /> i �i�l;i� ('_.l E`s4�`. . __��� ••.. . ?`•,_ _ . _ _ _ _ ._ . .1
<br /> � { . .-.�l.:�a�'=..�:} i',t� -- � i .... .Ji _
<br /> _ .+..._. . . . _ .
<br /> --. _ _.
<br /> t �f: �f� -c�.�{;i.�:t 3 t _ .. ., ! _ + f��i - , i ['d i' �_i . ..�;�;., !% _. . � _3� _,v f ,..
<br /> _ __;�..,,
<br /> �. �..•:: : .`
<br /> .. _ __ •_ _ : . ._ _,. _ .
<br /> :�'�� . r._i 4� y�`lEY _��"? `� _ ...,..._ . .{ .. . _.. . .;. �'lv���• _�4 � ��•"� ... . , ._ .. . . ._{F�•
<br /> V * ..
<br /> ! : ,� � ~ -. .�- �
<br /> � . . .; � .:._ i .. : .._. ..._ - � T - • '
<br /> ""•+}i::=�i:i���. � t - (_ _ i s_.._ �� . �-�i .. _i 1 S �1 ; `,:i� i_ .. _, , .. .
<br /> n: t 3
<br /> - �- .,_�.: : s .: ���: . . . .. _. . _._ _._ . .. .
<br /> :,:
<br /> s ' :;
<br /> �_ , . . _,_ . . ;
<br /> L _ _ _ . _. _: . . .. _._ . �
<br /> _ �
<br /> -e __.
<br /> APPLICANT�PERMITEE SIGNATURE ISSUED BY:SIGNATURE
<br />
|