|
�'EIZMI'T �
<br /> CI�+(1�.OF ORONO PERMIT TYPE:
<br /> �750 Kelley Parkway • P.O. Box 815 PermitNumber. ':�c���Fh ;�. �{hT��
<br /> Orono, Minnesota 55356-0815 ="ii:;y:�°_�?
<br /> (612) 473-7�57 Date Issued: _ _ ^
<br /> :i:i:- `,f:�
<br /> SITE ADDRFSS:
<br /> _,:�.:�� E�_,�iH��::� _<i
<br /> , _��.
<br /> �' . � . ��. i?�—� �-'-- =—j:—-e3�1=:=�;
<br /> DESCRIPTION:
<br /> "__bi`_ _. �.,i_E�•t'j' ��'_. -'rr�_. � . , _: --i,���' r.lRi#`_��:.!f _•?�F:-i�•�f
<br /> 'ei __a _,.
<br /> _ '.':'S 4
<br /> . ......_ .. . . �
<br />�
<br /> R E MA R KS: — -- -- ---------_
<br /> FEE SUMMARY: �� i
<br /> � .� �:.
<br /> � - �-��
<br /> , ,:
<br /> _:� ;�iz � . ,,:
<br /> _ --_-----__.�__'.�
<br /> CONTRACTOR: _ -�F,�,; �;;�.��-:�. _ OWNER:
<br /> �:
<br /> �1:��` ����'I l� =t =+�f��'= .�'.,{�'_ _+��_s_ ��H�_i��:.f!:it��..' i_i�t��4�....�'_�
<br /> �'} . i' .� :-_
<br /> _.._._ L:(?T i':�i-�L..E F��,%i� ;�.:w:� ��.,:�'f �it�•.=. �:�f
<br /> ���",iu 't_�.�};.;- j1;.:, �';:_=:r� �,_f i��i�,� [ ,i�;;:� t•i�� ��,:���:
<br /> F,i-� i .._.. . ...— �::i{).,;;
<br /> r-r��.� ;., _�r.�.�,: :�r - �;,� ,,�rr _F;'s:: --- - � '�l..ii.� C�_ T i� _. _l, �,...'si,i_F•i
<br /> .. �L:. l i';:i.}�. .� 1+7�u+'�i j�'��•�;r��Y `�.r":�:-�---',l '._ t _,�':t �_ _. _. _ ,,.�.€ j ?_F . .!"St'.� � : �t... ���'�'-?L_ _?�i�if_�4 C:: :s_�v,T`.�
<br /> '��''�" s��;- ;�' '_-,i;i`�7 i�'N���.c'`. -r�-� ��Y, ��!�._ '?�=Y=,;,*.. i,�'.� _'ji.j:: [ t��WIf>�i''�I�a;�!'•_�f= I:�2�i� f�'_i _ '��"'i� i�l�:-
<br /> _ _ _ i.J . . . ��i._s i _
<br /> ; �-•-s`.ti: i�...,,���1" ' - - n�.a•- .:-f�•ti� `°i,-.��:i:'"� �i.._
<br /> :..r. ;,�..
<br /> -
<br /> I _1;-;E_.;,�, , ,�-..,,; �.:i_,--, ;_`._. s-tEv!: _ . . _. �..t, !°I�[,"�;g'vw,_. _, r , _,_1 j_}3�'+�=� {..:i_.E�i� F:�_:,��J��`:*-{`i;-i•.I�-_,. �
<br /> I_ _.. _ �; _,
<br /> L
<br /> PPLICANT%PERMITEE IGNATURE ISSUED BY:SIGNATURE
<br />
|