_ PERMIT
<br /> " :�F ORONO PERMIT TYPE: }� --.-F -
<br /> � . �� Rd. South • P.O. Box 66 F"�l_S},f��i F.i'J1:i
<br /> _ . ,, Permit Number: :.;;i��,_,-:,_,
<br /> ' - �, Minnesota 55323 Date Issued: -���� ��_�
<br /> 7357 _ .=:.`�:._,.',� _.
<br /> SITE ADDR�SS:
<br /> a_:��i;:; �;�;'��°v if::_i,� i=`.__
<br /> T►i��
<br /> � � -: , -r :,-: ..-..:
<br /> _ . . :
<br /> :..... � :. ,:.
<br /> r � �,� � z !—_..._ u.s.,.—�,�_:.:;t_;
<br /> DESCRIPTION:
<br /> FA i',—"£A k�4 i�.d v••
<br /> "_��i '_!»3.i i'+ `.�4~i.� ._ _ � ,�i— .._ �t�»_'i"1+�t�' .'•.t�i i��}1��e'_
<br /> _.�=i 3. ;.�_i i!"i+� ti4ii�i 3�}:, y�"La}:� }-�i:—}i%i�_i�-
<br /> :,� -
<br /> �: �
<br />�` . . .
<br /> REMARKS: `::.::;=:::::=, __ __�
<br /> ..__���_����_-;.� ..
<br /> . .. __�
<br /> FEE SUMMARY: - -` "'`
<br /> ' ��' .. � ,�„ . L _
<br /> �;'f',1...�_�;t i 1 i_1��� �i. , f�i?i(� :+ . .
<br /> �.r.--_,,:..�.� t:'._- -
<br /> ,-�:i,��r,'+ j"NFs fY�.�,i'_I , i„f1 3
<br /> ,�L.i!�'l.z'l�qt'''-%E! ___._______.�___ s• -,t�s
<br /> :��.�f,;.� i, i-r'k-` . _.�t_� . _ _
<br /> CONTRACTOR: OWNER: -- ��:��i. �.} _i.��:_ ----
<br /> _:�r�t;� _��v°i l:i
<br /> �';?�_.= ._���`,'�`:��+ t-`:-
<br /> i_Sj;;,_;i`+i:i �`i3ti ;:=,t.��3;�.�
<br /> ii.: _. _ :i i.
<br /> � —r� .. . _..��—:i, . ' — ' ; . ` _ , _
<br /> ! {�� t �3�: � ��4,;s�`v��_:at � . . . � _ � . . . _ . . _ .
<br /> �.r.�.r_'..e{'� .', i . `i� i � .
<br /> �
<br /> .' �"'.:'i't 1 ;" ! i_L+ }'?. _' 1"�i... .�,..� ' F •...� f. ... . ._. .. .. .. , .. . _.. _. .. . . . .
<br /> , T '� 's t'{91�1 i s t � t�.} s' W i i`
<br /> I. 4 ,� t 1 � „} -� ` Y' i 'ss.:
<br /> � �
<br /> . •_ . ._.�•_ _. _ _ ..
<br /> �-s.-:�Vl:iei i ii';,J T•51;{ tL� - ` :--� x t'_ €_i . v.i s.�.__�=E.i l i-k !_;S_�.l f._�3.i��� {_�_;.:i�.. .!_ _ _� ,.,: .:,_1� t _. . �
<br /> i t�2� ,
<br /> � _t'1_. ._ _� 1! �4 •.__ ri�'j,.s a. �
<br /> a
<br /> � a -� ' � ��
<br /> APPLICANT%PERMITEE SIGNATUPE ISSUED SIGNATURE
<br />
|