|
PERMIT
<br /> �I�Y OF ORONO PE�MIT TYPE:
<br /> 2750 Kelley Parkway • P.O. Box 815 =��_':' ;:_�._�:�
<br /> Urono, Minnesota 55356-0815 Permit Number. - _ : __ _
<br /> Date Issued: t�;},�_`!�'�:
<br /> (612) 473-7357 _��i�:;�, '=::�
<br /> SITE ADDRESS:
<br /> ', r 4 " " '
<br /> i '_ .'�i i i�{fe�_. .. ..�.� .. }._���� 1 f�\�._
<br /> vf�
<br /> �"� — I "E��~}�.f
<br /> DESCRIPTION:
<br /> f';'"-!".__. ._ �. �:i���I��':t=.'�:=T;v,��_.
<br /> �:�LI1 t;�3'! l��-i i"'tyl'!';'r? 'f. �.'t-'S_ W� -..�;�E}i?,%r,'';-I°tl_i���-}-
<br /> f-:l.ai ���!:.41'-i ���.i'���:. ; tiI'sf-`. �''F.��;_;;✓.�..�'�..�._:i�'.��'�I,,li}�I_
<br /> � i •;:-.
<br /> :F�,�_ ij{r+ lr'.:iiit_'Y �.,'"'.�
<br /> ..'.F.'� i f�.:
<br /> �. .
<br /> � � ..�_z. ..y. ._.�. �.. '":_
<br /> , •••._.6 !;i I [..7 1 1 f"; . Y L:'F'..: .:1 v
<br /> . . v i i i i.i` �iiv i�ii
<br /> +AS:lAt!'i �+t L"'C
<br /> lT.6etl7/�4•L L1 ! .tL�L
<br /> 'i Td}1!f}i}i�
<br /> 1L'1JJi�VV1+V r
<br /> •j' -�6? iC {}i5
<br /> �f.1 VLlt "I+J�YIt
<br /> j+;�:�:�i�=i}iyilf3 tf
<br /> l+:.tt�:.'vV��1tV !7
<br /> i l VL� 1�VL�
<br /> L�;)L4� !L '�l�1=�1V
<br /> e.iL�i !!i1 i.«.l�Le4AjlC� 'r f if�
<br /> 1l44•L1! 7 1 flfflTl\ 7 L'V
<br /> T�fLtL��7VVL� 4•VL�1 t1V1 f V 7�•f:L!
<br /> e!rl�Si:'L:i
<br /> v�:r'vw r-r
<br /> REMARKS:
<br /> ..., :..._ - - - - - -
<br /> , . _, :
<br /> .-. - ... .� � 1. • . I,� . ... - - F! '��7 4; - - - - �!-, � i?�
<br /> FEE SUMMARY:
<br /> �::�i;1_.►.��:"; :: ..., . _�:', t:;i�ti;
<br /> :ryC�»"� Mv}:a '��ry !it�l
<br /> '�{.�4'r,j�l�it'>�71-:� '�'i �/i!
<br /> �.: —_____..���.�s.s..s�
<br /> 'F'_ � .. i F'; . . y. ri i'
<br /> i l.i S.r(_. . F-h? 7t:-df.�_;� , F_r?_�
<br /> CONTRACTOR: OWNER: - ��:���-;. ; � =fr-,�.. --
<br /> �`1:`!`L:_:..! t i-�lti�--`'`�`� !���`j���-;i_f�:�;
<br /> _: -:� 1=.� •�c,r•'r"'_:'= t'' . ._
<br /> ����.,�,�rr.- F�'E:;j,y I - :i
<br /> ._.._. .� i i`I;'•i .�;_ _.�=L
<br /> _ :j -
<br /> ri -r-- � • :.1:--.. . .,_,....._. __ . ..' ,' ' "' '
<br /> ,..a� � t(, ; {:.,i_e,� _i;ta"�"� i.S:- -'i-;-;'�' ' i�-'-� i` ��:=C;��a'[� �"t:' ;i i`;"} ;r�t'.t;'t- ;'-iF- �-'-{:� : i:E;�:;;i j` `°}�-!'�f..�
<br /> � . a •. e:. _
<br /> : :i•..._. '�3'i�.J f.._:1�...'::.`..:� ....:... i :'_.:'•..,...�..: � - '.�...__;'�..��,_.. . _ .._i .'F.z. ... ...�S .... . . ... r .["'::-...... . !...� . ...._. .._. _� fi .�_. . __. �,.._.n i �,_
<br /> ."�. i_. i .. .'� .. a 4 i.. ". i�p ���ii � f-:i i :-i..ts'.C. � ii� '�'i"i t,i. f .: '�°if'i e-�t� �AiT � �..': i^iF i ' � �±'
<br /> �. � . . { � : .: �:
<br /> .... ... _. _ ..__' ... . ......_.._. . � . � � . _.._.. . ....,. _. . . . ... _. ... . . ....
<br /> . . _ .... _. ., ... . . ... .. . . . . .. _.. . . k...
<br /> ._....,,.. ; . •"', r '' ' p _ " ' ' '' '7 '
<br /> � F' . ��t{.F ��j's_�i � i � ` .....'.';._ . .:�j�.l � � {..y a ._.. �»ei' . . , ��r{ .�._.��_ � .i ....��. !.E_.,... J.. ._ � j.^it. . ..... ��.. ._.4�i�3�� 1
<br /> . .�v, �_ .' ._
<br /> ��- : - u� -. i �.. ;si .
<br /> L . . _, _ __ . . . . _ . �
<br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATLRE .C�L,,
<br />
|