|
� �ERMIT
<br /> � °`��w�Y flF ORONO �
<br /> �� %�,�Iley Parkway- P.O. Box 66 PERMIT TYPE: _::_ v�:V
<br /> ,_ :I Bay, Minnesota 55323 Permit Number: ;_���; ,- _ _
<br /> (6�2j 473-7357 Date Issued: ��, _ -
<br /> SITE ADDRESS:
<br /> _ - =�:�`� � __.� �::.�
<br /> .�
<br /> - - _- -—i�i; -
<br /> DESCRIPTION:
<br /> -:��-,�"
<br /> _ -`�-;:2;��i�if _ .' �'t°'= i�'_ `` !�{i�is i '�'1 i i;� = L, _ —'i,ii�
<br /> .._ . ._._ i _. .7 =�1'•`_�1.._ i�.� •�"' . _ _ _ . i _. .. _ _ _ _ �`i _
<br /> 'z:',_ :. �`3 E�;`'t`. '-i=.'f. j'�Ef�:i':=-� I !:11�I i,:��;.:
<br /> iI��+.,.'-i.� . _.. .. . .. _ �._.t_! .;.�,i:,s_.� . .. _ _. . . ._�-j:.t
<br /> , . ,_... ,�.._. :.-,-- - -- - - - -�.:- • - -
<br /> • . ,;.:t:� .r'... (. , i�-.
<br /> _ �'.�L_�tw i ��.�"i i ��._!E�'! _. . . �..j��ti i°}I-ii�.,i.'. _ ,:. { � I� i ��f-i��.��j�� E � .�'
<br /> 1 :i.L i� i_.1_!��}�j{'4�;_,�:1 j ntii.7 . ._. .�_ i�%_l�:4=��``•. _/�k ��li-?1'�,i= �t�!!�'{��.,
<br /> :�!_E9,i:W�. _ _. _��;�' �! t;ti`-� _
<br /> REMARKS: I
<br /> FEE SUMMARY:
<br /> �,,?;-�E,,��;i�;{j�� ��,�i, ��i:�
<br /> , -
<br /> t�ri���1 s�r:� -_ =�:t . _ � �;j;_ F�`, ______ �.� �,���
<br /> ;is�,�}_`�.a.���;;� ______ �s� _ _ �'��>;.:�.;� i=.�-:=� �`�s`�'•-``- -
<br /> '��E!�t T.a i:..:F —��_...J.�.•�..�.
<br /> CONTRACTOR: -� �=;�°�=�� ; �=:�-!�-� - OWNER:
<br /> `; _. _ ��`�;�?T I;`��� _ � . _ U��;=�°:;;;�:1 ';;�'.`;�;
<br /> _�Y,`_;_: ;.�"t.`�"..`'•.4`i_`• __.. . .`�%�� L:'!-,�_.'• _,���'��'.�. 1 �,,.' �;�!
<br /> _ -. ;:.;_� ;.�;,. - -;g s_s�-°f_�i`'�i i '1;;w C�,_,c:�
<br /> _�=;`=. ._.._ . .. _ _ . . _ _ _ =_
<br /> t.`..'�i�...� _ - - - _ _
<br /> _�.; -y_-:- �� ,_>:-- y: _ _ . ; �,. _ w� z f_ ,
<br /> . r
<br /> !f-- `.;t.r ,r::. ' .�:`s�- i t-_ i" ; .t r t 'a:; �f ! t�'. �;`f- k- z, f
<br /> _ -:;. ;_
<br /> . . ._. _ . ._. _ y _.. ._._.. _� ._ _ . . ._.__ __.._ . _� _... ., • < ._�`,-:._ _ . , _, _ ._.. .... ... =:L. _.. . . _ . __ _... _
<br /> ;-.:-.,._- <--+---t : . _ -
<br /> _ ..__,
<br /> ._
<br /> . : . e_a•<<'
<br /> _. .`._�._ �?` =.`_E� :�ri�_! .�l_a.�....:':�= �_� '•_!�� . .._.._ :��_. .. . _�. ._ . . .... _• ( <M: }; t +__"� ._ _-. '4{L `� r'.___ _ _ . ._
<br /> _,;.. » _ � _` ,:�:� :�,s .
<br /> ._i`._t1 ,_� �_,tl-�';' : �`,;i-4sV:.�`.-. F-�! ._ _ €r� i !- : 'si- �i.��: 7 t i -- I;.y;t r w�-:f-;,;t
<br /> �`� _.... �,y .
<br /> � . ._.�_ _. _. . ._. , _ _ . . . _ . _____ _.. ._. _ _ ,._. _ _ . ,. _ . �
<br /> ���f� L� � ����i�t�
<br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �
<br />
|