|
PERMIT
<br /> GI�Y OF ORONO PERMIT TYPE:
<br /> ' 2750 Kelley Parkway- P.O. Box 66 �'�`.�_'4�'='.=``�`'
<br /> Crystal Bay, Minnesota 55323 PermitNumber: t_;;;_;�,__;=, �
<br /> (612)473-7357 Date Issued: �;�.,;_;i;�:=;_;
<br /> SITE ADDRESS:
<br /> =_� i=;;'`Y'=�"���i� S_�`.'=�F:: F`.;1
<br /> ._s'i�
<br /> �:' i j;; . �—i i = _�—� �."':_7i is_i�:'
<br /> DESCRIPTION:
<br /> =�-, �=;:x Tt i:;�r��.
<br /> "-`!i "-t r3 i C�t_ ��,;. t���.s_`•w�
<br /> �1i4it. �.i=`� ����'(.4�.� � ,.•�,
<br /> S"''1:1[i3t"t 1 }"�': i�:_:r E:; T y�_F.� i-�r:_:�:;�t.lt�:F
<br /> x:1. 'y':'�-i i�i�t i�E_t-'•^_�i _ ' ;'�if'}�j;fi'� - ��f'~-1Tt�f i i�°
<br /> � '.-:i-?iTlt��;i • j,e }::,i�i�:F-{t�i�� �:f tvt:. _: �,i i°���'t�!_��';L_
<br /> s::: _ _ '_ _ _
<br /> ' i i i i�'1;" ��`_�
<br /> � ,,�._:���.:.�:_;.,L�,. : °�:j i i t�i�ii��::.�; �. F�._�_`�: � r.i:'.-,
<br /> _ I_�-;�{�;I�:�i4` ��iF;`Y I' �J}-i`._.#-��Fi _. li'i�?"tV�; �"'�F H��'.h.
<br /> .t �?��E�.��`t'��`+��:w:
<br /> REMARKS:
<br /> FEE SUMMARY:
<br /> '1�t�i_��;i i;�lt.i y��,_:; i)t;ii_i
<br /> �,,;�:�� �,�,_ �1`�,_ . �[? �?i-���_ i�`� ------•---��......�':a:`
<br /> ` � ��,�i"'� �i i
<br /> =e1�;,}=il�i,'�== ______ �t•'= `+t�1 ���j�..�i �=,�,�, i _ . _ _
<br /> ��4![�T.�i�..��, �'•¢'-`-'�--7��t�-�
<br /> CONTRACTOR: - OWNER:
<br /> _ : :.: .,� ..-. _ _ � �� � -=�. �t
<br /> ,�� ; .,�:. -
<br /> :,:'T ��: !i�3 yS'_ S'•.'Jt!«.��.�'_�. ��f�3
<br /> _ � �1��lt�.,�;�tJ:_ , ,�ij I }+�;� _ _ ---- �:
<br /> -�� i=: - t:�;,�=°��t
<br /> i :;�iti : G.:L:::� { ili;',' �:;;s :<<_, . . . _ . . ._ _.._.. . �.=;°
<br /> - - - �.�i:�'i ii;=(I;;(�,��i 1'�f� �._,.��i_
<br /> i_,i;_�=1._:�i i�i� I':ty - - � �.
<br /> �,s�,1 ':`? '��'�_'—��'ii;-�
<br /> ���;L fy;r,;s 1��-"'i;-iE•,��-[`t �}-,:.°-f-��'p` tii ;,�.!Y'��! `•� �-'`1-i't1,�`.: - _:_iE`,� ! i_i ;''1FiF:.;-, .�?�-l�-, �i'�.';f T�'":E-'�id� .�t��°�{-{;!i :_
<br /> =;I'���_i i``TE�4�f�`'-��`�i;i j-�:�i!'�',__ �� :_ #_,Ij_`• ri�_�_ tt# #. .��. i lv �� I ±'•.�� � s.t�! � '��{ri ,, t_ .4!.�t"� t���i i i t t_jj-
<br /> i ;:r::;•._ ._Z':; G'' ' � - �f',' 1 { ;:'� : r:� f '_
<br /> � " ' ' �i ,,,,._j � __S i 3 {`.�{_,i l. {L?'e . .`.�a,�_ �.. ._.�t''W I
<br /> ;�lFi._i,f`.�l,# i-ii-i;)�i.ti=:�„i_:�`._� ��iF•,:f I _� { -�� s:_ �_.t�' �'`�%,.,��s,-,'.=;I_{ i . . - • �1
<br /> �
<br /> t
<br /> \ �l� .���
<br /> APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE
<br />
|