, ERMIT
<br /> �`����s �� ����V�
<br /> � � PERMIT TYPE: �;,;l� �,�;y�
<br /> 1335 Brown Rd. South • P.O. Box 66 PermitNumber: i:'si=i:_;_i?:�
<br /> Crystal Bay, Minnesota 55323 Date Issued: �°=�/�:;�7;��=:�.
<br /> (612) 473-7357 ��`��
<br /> SITE ADDRESS:
<br /> �.:�.'_� F���r��,�lL'=::=; �'{E i;,��C �;i�
<br /> �,�:�.�
<br /> �'. i . i�I . . �. ,`•'--� �.—s_�—..•:i—�ii;:��
<br /> DESCRIPTION:
<br /> r. _ir. s�•r•,i na;
<br /> 'r�r '%ii_�s l��_t�'x._f'1€._HF
<br /> -�� • -:r-::�:�-:�—:
<br /> L����. :��I ii'� �'"�;''i'ii{i'�• ( v f-'� !_,�"__�i;'•t�:'C`:1'�I':i ;t,:�L_
<br /> C • 7 _.t � t � �. � r-•y r:::r�:r.
<br /> C::�3 j, �i_t i !�1� 4+:'��F 1't�. I ;�`�-`r� i�.e._""'�`:E_j s_c�-
<br /> � ��°�.�, ' �� �'Y,`g," '��"� {� �_;- .. � . . �- �
<br /> �`� ,�r�,' � y . .
<br /> � 4 !
<br /> � � M
<br /> 0 �� � . ; � �� �y �� �
<br /> . .. � � � '� � � �y���� �y . .
<br /> � �4�4J � .S' � �F�.� N����4�;�5' �� k��� .. �
<br /> � A N � P „ ,
<br /> ���l�A�h'�i � L�J.N �� �f,• l�� � .,�.5`—
<br /> r .
<br /> ° Y . 1
<br /> �
<br /> +`A r )��,��y.�z�.�•V� � __ *�..n.xs,"�_`'
<br /> REMARKS:
<br /> FEE SUMMARY:
<br /> 'Y'i-1i_�'t`-'t��i F_''-�''� �� r �=f:�_� i•rTy ier t3T•J7i�Tit
<br /> 41 ! 111 {:ISiJIfV
<br /> � i �1fTjRlTn�L�yL U�r1lrL
<br /> L�C{��` i '�'�: ''.�Yi}y . '�il� '!ti i�tlrl�ljp` !�!
<br /> 1J1.i1VV vV ��
<br /> �+��il'��')ct't"-Et' ----------- �g.;���� iti laiiY riavv
<br /> 1���:'��.•ttl �N� �f:+:i . '�;ii 7:;:•�;L��,tn�r� �
<br /> it6.it V V
<br /> � \%j VLi��t s 7 Y
<br /> ;:�'��L�fi� �'L =:1.�u
<br /> t:L'%•C 7f T_'i L:ri�'�Ji�� Yi d!
<br /> ilLLLl! ! t 11 f f V4
<br /> jj'�:rtrr} �'(i!}i L,fti ?��t-,/�
<br /> 71itT!�J�. LrVVl ILV1 11.�l,�V
<br /> {i L�%�ti7VI,!lJ�.
<br /> CONTRACTOR• --�- `'�=='=�i it-�{t'� --- `A,NC�
<br /> -r�,-: i 1� �.. _�_ . p r��:r.r• a -7 a , OYYY'�1.�'.�1' � --a'
<br /> FWi.�T'� !F� ti.�F"�i��1�_ �ii_It_{F' ��v:i ,•{ L=?:L•� J.i�.� �±�,�_t�. i 3ti:.*'1L_�(�t� �i-i��fi��_i'�
<br /> ;�'_��_.E_f (`{3{fi?Ti'� �=�i—'l�_�!''•�f Z..'1 1 i i�_� �"�#13��..;i;�i!�'.-.:_� �'`i f�i�� !'`•.��
<br /> r_• r; r,;r. i - }
<br /> ��tl_It_!h,{�, � ;s,� 5�-,_;f�,:�. i i{���I�;I[:( t��t,� �,�.:_;'�f;�
<br /> ;,F�.L r_.S �-r�``�.t�.,:==�
<br /> — ---- ��__�__.._.�------------�-- ----
<br /> -r• i - , .,�,-_r�r,i r.,��� �: tr._:�--�.: - :__ _ r�r__ ._3� T�:r.; -_=-r:r� �r r��- s f,.c•�;r-., �;...h,:-- � - �
<br /> � � , :-:; :
<br /> ' ::.=r �-; ;s.- : ::�:. ..�-� , r r' -� i.i_��y i�{_i �i. n� r j,� r;�i_I'..�i- �{�- I '_
<br /> ! . . _ •_?'�L. 5•=�l. ,._. ...k. t�.}i`_::L'"�7 !'!e.:._,____ _. `ll'!_.�_. _ }'fYl:••.0 . . . _ � _ 1. .S'._...Fti _.
<br /> ��'�s:.!.�i I` d�"_;.� i�ii��'':� f-i?.7i:t._�`_� �i_� �.'!_� e-lt__�_ �';'_�„ . �i'`; :� �i:s _�i '•��_=i'I�`��I f-i�'i�_�i=. t:3��i i �-l�_�._ %1�.'t' ���
<br /> r� �r':.-t-: =-a!-'�;:rF. r:k:-. ., r.;,'z": _ -r:-�. . ,- }.rs _-a __.. ,-: _:: �' -3; : r-�: - --'� 'r�'�'-�_-- -
<br /> , . � .r. .
<br /> c_.�i��yf_: �_tr�ie.117+�F;s�:��:-� }-{,JF r _,� t; ! E.. i..�4" i`i i.!'+�i`,iz�,._.i_s i¢��: �.:�yi__�i�. ._. u.E_�_!i= �-;�*i`i_i f i-ii".?'i�:..� . _. .
<br /> �_ �
<br /> ���� � -� _ r
<br /> ,
<br /> APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATUR ��C�/
<br />
|