|
PERMIT
<br /> . C��.Y OF ORONO PERMIT TYPE:
<br /> = 27�fl Kelley Parkway- P.O. Box 66 Permit Number: -``�"'�" '-'- `�'-
<br /> Crystal Bay, Minnesota 55323 - - - - --�
<br /> ' (612) 473-7357 Date Issued: -
<br /> SITE ADDRESS:
<br /> . . .:. . . :. _�!��;=.- _ _.�� �f�' �:�
<br /> ��=:
<br /> � ,F_. - � — - - ,��i: ��
<br /> DESCRIPTION:
<br /> ,� i-{;-G-) ; �i:.;1� - , _ ' :`�'`;`= t-;.�i�. _�_�L..%.", r"o�� �l.i`f y:-i ;�•,,:�;F�i_. L.::r i`.�,
<br /> ;,3;.��..;:,- _ .,•{r�;,(:�j ;.3fW;i�'Ir?_ .� _ �%,?.i-?.�J�:i;:�;�i �G
<br /> i !::�;'_; � 3 !`li . ._)t:l_1 [ ;"}--`l 1; 1=!-. , t_t;_:[7
<br /> i i' —:'E� :�' T:'iz �;, ,,_ — .— 1`:` •'if � !:- ;�'� :•J,i,l��:—�tt
<br /> ���: +..=ik1� ; �`_'i`dlav•_ i`i���'�,i� =i�:i't'�.�a ! . ._�i_..._�.._ _ _. _ -. - •- -
<br /> . '4'm. . �=,��i l '•_. . �Ti:;:�.,L`_ _—'j��:,T�!,.I-�i- ...;i-i i �..t
<br /> REMARKS:
<br /> FEE SUMMARY: -
<br /> .�-��._'.!�'�. . �����a ���: . _. _;�;
<br /> i�,,••�i'�4:i �'h��.:: �� . . ! �' S�{''i S� �S��S �.����.^.... s....(�r'
<br /> • � �
<br /> �.. � s..—. a — '
<br /> r
<br /> .�i��i�i_.�i S=�';-o'-� _�.'i s�. � � }'e�._i i `'F�3_ . .. _ . �.i,i_I
<br /> - _.��..�.�_.._. �'r.
<br /> tixS.�i�}�.e_i':_..{7•i _J L ".•_J
<br /> CONTRACTOR: -- �:•r�: _ _r;�:i_ — OWNER:
<br /> _ . _ _. .: _
<br /> , ,. , _ � �,: - - -
<br /> ;:�
<br /> , : ..� �x-��W.�� _ �_.. ._ _ ._. _
<br /> _ �� �.:� i=:�.°'_ -.- . -._ . .� � : _.�_ _.:� _ �si_i,�v a. . . t =_.._. _. . �-��
<br /> ___ _' ._`.''= - � � . c —;'{+.i:. _
<br /> i ii+.ii = ' —�'� — SW�E�:.., "_''T�° _ �:��r;.; _ :`.r i�t:�...� — ;.ii� —.iw. �:�:3
<br /> . . .,. .,. .___i1..'• i S,",Es�'.�E..: ..M'�.�.�_. . . ..._ ,.._». . _ ..... .� ..� .. ._ ., ...! i � '... . .. :f�.�... � t.5+.� t ..._:"��.._ _ :( � ._ . .....� .._.M 7 '
<br /> ' '. .�._. ___v.�.�. ' _ ' ' '
<br /> '.—�S^';—:. ; �—� 1,`•:; :. ��! �� { �� t t � i . Ii- , e t`r . .. _ .. `.�'�....�. , �� ti�. u:'{. E .` . ._._. _. .. a �`. f_.`.
<br /> . ; : s �
<br /> < r.. . .. .. -' r_..,_
<br /> � � �! ��. .
<br /> —..—.-..:.—.
<br /> , ��• �:�� � ;e;.i'".� _ — — � — _. ;.._:� `.t��
<br /> ...,t i� ,� �`- ::::j. } ! x E "a �,i i :W, ° i�t , `=iN.
<br /> , :.:._.. '•
<br /> ,-
<br /> � _. . ._: _x:t=..::.. .. .i _c_,_= � :.�._ _. � .z __. .. .. l+ ..._..;. . ! : � _ a:.__ .. _ _ .. . ;'i_ ', _ ..,.. . .. . . _ . �
<br /> ✓/Y�Z�-C.�C����2
<br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
<br />
|