|
� PEI�MIT
<br /> CITY OF ORONO , PE�RMIT TYPE: /
<br /> 2750 Kelle Parkwa • P.O. Box 815 ' �::`��_`';�"t�
<br /> y y Permit Number: ;-�fr;,
<br /> Orono, Minnesota 55356-0815 _ ' ��:''� _
<br /> (612) 473-7357 Date Issued: ;;�,;-�_;_;;__a::;
<br /> SITE ADDRESS:
<br /> ,,:jz[_if j �.}!)i��tA�l II I�!4� f-�u��
<br /> !_�
<br /> ��.i "�F ' - ���. -,� -t:-:
<br /> �'� . �. . . . . . .,_.:1—j E . —�,.-'—,`-=—t._._:; '!
<br /> DESCRIPTION:
<br /> i.ti��:}:. �':�)E)T��I_;t;�
<br /> C�{�!.',, 13�='sl'� i'=1''•'li1,�. �v��� =_�-"��J��%��:L�'�lil���
<br /> ��t.j� y�#7 i"'��� ;a;}t��i"•�:; I V 4:.,� L���•}=•.
<br /> �����.,� � #_�?��`i.l�=� '__� �--._ �. .
<br /> R,.::i��_�.t"i,.�i'F.i t"[i E j 'y'�.iF= 3yl�i� �i e i _i� ve(��:i��
<br /> •.•i.;:,�;,�'' ;tr�=�f•C
<br /> �.+=ill3j��� ��:—.C�� i irsn.iii•t` 'v� r i�•�
<br /> i.ii,?i i%vvvv n
<br /> i}7 i�:1t ii ttel
<br /> V i L•L!i L'J+V1! }�
<br /> 3'.'�' '�•'�te i[}?li} A
<br /> 1itL+�V�.'VVV
<br /> L 1f '� !�.
<br /> V.l. L'L�t 2�1�1
<br /> � •a' -r
<br /> •7 t L L 11 !L. L'7 e%�
<br /> � ;'r+!!?�_'�J!tAiA' j�fI
<br /> !t�LL•L1/ 1 1.tl'T!7!t 7•�,7U
<br /> !!'.'h?:i3 �:ti77 F1i57 !'t�'ti
<br /> Tfi!TtL'V LrV1l.¢ l�ifl ! li'iJV
<br /> . t'}<, .. �'
<br /> `f+Jf�[_L:'•t J
<br /> REMARKS:
<br /> FEE SUMMARY:
<br /> �,'w:,{._�1;���i i�u s>:_�; �;=;f:
<br /> ��-.�_���� Fe_, `-{=,:= . '-1{i
<br /> `•=���1!'T!�fci!''=,it-' --------_..=��.:.,t C
<br /> �t�i�.L;� '"f-r T �:�I_.i-L 7=.
<br /> CONTRACTOR: OWNER: - ��=F-� �{�:r'f�� -
<br /> �_�l�Lf�'�l7 T�t`1i_�T�y•,�
<br /> ��,i t�:t `it_=��l;4�_€�_ii:�� �-�;4,�F
<br /> i i�:���.�a 3 r•;i,� �.5:=;°��.
<br /> � - ��
<br /> `+`i"'tiVt�,,,: - E� - �: • T:- _T -- ' r'•: i_ t_�''"; ;1 -' 'r=`
<br /> ' � �', -,y `��_j� -�_;�`'::�.;1f �:�!��li-'�. I :_ �'!;t':;'�t._ _ �I_'�`i '�_' :t;-3 i
<br /> I i tt� :��fL�:_� ._ `�9 _. ; � �.i._ . _ �'�:� ��'h._ i'.�.r� . 1�'!�'�!�i!!•r�I'���4 � '-
<br /> . .. . . .
<br /> ;....._.__ .._ r.._;., _ _ �^ . .
<br /> �'t�i.:.j l- �r t_t �-;�v�? .-��-i�;'r_-:l-�- i f_i 4E 1 . ! � t il�l�-c;�; �F� w T�.,�'f '? �:j�:.:s=i� �'�,(`.�1,.� �T�}; j-;�; t_.i ! �J °_E�
<br /> '--•— __ . _ . . _ .. . L�_. f'i�__. s�•_. . . _. . . . �.: _.i t� _k i
<br /> #�, ���;i l '!i � i,`� - },p'' _ ., " ' ''� �,.5 , 's ;'�, �Y. ��`'j ! �; 1 t�'; :t- -i; i y— �v.
<br /> �_�:; i ,y�=�:,1;.t�f-� �_:��:':� r=i:i�: _'r, � �-. _�: :�i���:�_�;,_ i . __ :s.� _ i fi,;.,� _ ii.:._ �i;={_.�_1 ._�i�= �'= I
<br /> � J
<br /> �
<br /> � ��i
<br /> APPLICANT%P RMITEE SIGNATURE ISSUED BY:SIGNATURE ����
<br />
|