|
y , , PERMIT
<br /> ��TY OF ORONO PERMIT TYPE:
<br /> 2'S�0 Kelley Parkway- P.O. Box 66 _ ' � 3��v:;
<br /> Permit Number: ' -��'.��_::
<br /> Cr'�:tal Bay, Minnesota 55323 �.�::. s ! . _
<br /> �73-7357 Date Issued: _ _ _
<br /> SITE ADL�RESS:
<br /> _.� � _ ,_�_... .,:
<br /> . .-_ ..._ { t-�=._.._ . .- __
<br /> _ - -_ - - -_s t�`��, �_,
<br /> DESCRIPTION:
<br /> . ;:�`si�3��.:_:j�.3
<br /> =��1 yLF_^`•l:i�,� . _ . ...'•_ T. �'=, ._ :. ==(�'•s�;'iE;i^('� it;'�j.,,
<br /> �. _.e i i�i i �3�_i �,ir3i�1 i . � � a..�i��� � __ _i,3 i 1 i».. . '
<br /> ._ � _f-�'1-�:_;�-!} - '.�..�,.�
<br /> �.F�i:j'_,�.:'_._t•�i..'.. . , , _.. ='I`f .
<br /> �,-t�?'�.�.��'."� .y.i�.���?_
<br /> i.F'}j'-i%.j'-� _ i�ii«�3-:° . f"'L.. � . . ._.��3_i%'_i�v 3�e..._
<br /> REMA�KS:
<br /> _ _ _,__� .._ :_ - --
<br /> -_L_:._::;�.:� � � � _ � �-. - �-� =k �_ � a � � -
<br /> ._s: - , . . . °� : _ __ . _. . . __ _ .
<br /> ,,,.; ,
<br /> , .. �:�; .
<br /> :-;,
<br /> . .
<br /> _. : .. .. . . .._ : _ . � : ._ .,: _: . ..: �: . . . . , . =_� _ . ._ _ . _ _ _..-- - .. .
<br /> . . �.� ,
<br /> FEE SUMMARY:
<br /> i�-- �-• �=;�� s•=:; :-
<br /> �'�::: _ -{- _ _ .
<br /> , F _•.�i i `'.}_ i?�i.; T:•.-. .. _ . �
<br /> �i'� _�t•�i?z '_ �.''! 'T .
<br /> - __._.__......._ L
<br /> : i_,�* �� �-_a_ —_ - -
<br /> CONTRACTOR: --� ��;::��� ; ,_�;�:-,�. --� , . _.,T:_: OWNER:
<br /> _ , '- �',,.`-��k:' -=1`u:-, I [-`t_+`•._� _t tilf _-. . ' ��'' .�1 _ ._ _. i_:1_,��
<br /> �� i'IE:'�t:i�`, r t`'' -
<br /> � - ..__. ...?4 __ _.. . .._.. . _. _._`��:_ . . . __
<br /> �-js.:i;�::� .--,'-��� .`=`L= _ _. .' : ... .... .�t"•`.;f � s`.i - - _
<br /> .t.�.;;_ . ,._ . ;.i.:�,;'_ - - - - .._. . :.� . _
<br /> -,._,,..._.�..
<br /> � � . �•�,�v ej._•
<br /> i i� "'
<br /> , . s�. _3 i.«. ._. .: { 'E.�:_..i t . .�.....?'v!..i_� i . .t_.���:':.__� t'�.. . __.. .. . _ _. � r��;i `-!i� tss�—.
<br /> , ,f ..vi r%V'� ' .��; r
<br /> . �y ,.-r� . . . a' �- E e i,`
<br /> . ... : .: ,,•.: . . .._
<br /> .._.. _ ..__ . _. s. .� . __.
<br /> . .,- __ } �, �.'._i - - -
<br /> '-.; i �- _.� t- � ;, ._� i ii I :1 - - 7�
<br /> �_ . . __ _t . ._ . ._._.._ ! : �t:=-
<br /> � : :
<br /> - r ,. �. ., . _ . _ _. . _ s . .. _ . _ _.
<br /> �'-�. .. . .=.. :_:; :; }-+ 4'+' `;4'^ . .x.�, t.__ _ . .-� _ _ i�._�� _ .i.�a _ _. _. ._ ; ..._ . _. .__. ..._�,i E _
<br /> _ . .. ! • t
<br /> L
<br /> � ' �
<br /> APPLICANT-PERMITEE SIGNATURE ISSUED BY:SIGNATURE � �`
<br />
|