|
PERMIT
<br /> : �I�Y' OF ORONO PERMIT TYPE:
<br /> 2750 Kelley Parkway - P.O. Box 66
<br /> Crystal Bay, Minnesota 55323 Permit Number:
<br /> (612) 249-4600 Date Issued: _ _ _ _
<br /> SITE ADDRESS:
<br /> — — — . _�;:['yi."�f<i__s.= };';W! z.,,�
<br /> DESCRIPTION:
<br /> _._ .- _ �'t:� - �} �
<br /> .. .._._. ._..._,. _ . L�I L
<br /> -�?�:I. ��-:7.i ,_ '''t��';ti_ _ , �, "'i��,{�.�;�•`'.I_I'�R_{'^i`_'
<br /> _. ..�i. :.i�s IiY �'-i�ij'f:, � Ji�:F.:e� �`� ";6 i' �� ' —
<br /> � . hl�i�Ai;_.Le j:;`�r'+-1.;�"�>j��i��,L;
<br /> �f:"'i t_ t i 3�i�;e,,,J i�_�1 i"�F;? _ _ . _
<br /> .�.t;;�',�i.i�i J t�':.l ��i��� � �'G+r'-: .4�v.�
<br /> �f FF i��i:� :: '
<br /> ....� . � .Y!i ?.�"}
<br /> _ �,,, _'_� � '. _ � }�
<br /> �•f..';�l�=}!...��'a _ I �FJ �. . r�'.�:i-... �^ . ......._�3 r`_ a..}':;3 7.t?�
<br /> REMARKS:
<br /> .. .� ...r
<br /> a( � 1 E S�':'._ - - _ _ _ �"
<br /> _, - '. ' • :"' .�: . __. ._ __ . � ___ r t � -
<br /> . i i�•,'
<br /> td�:
<br /> :, .. . .. _ _ _. _-__. . . _ .._ _ .._ _
<br /> i : �. -:,.. � . :.., _.: � . ...- . :�;��.; r •_� :'. . _. . . , _.. . . ... . .
<br /> -�• ,-'t
<br /> FEE SUMMARY:
<br /> �'i_:1F_; ? T;_�i`y �i:'—`i:E_` . _ _
<br /> _ _.�_ ,'-�.._� — .
<br /> �' i._... ...�''l�?� �• :j ,:°w`' , _ .-
<br /> _��{F'�i t�i.?~: :,�.,;�,
<br /> t_F i.:� � �'.s Ca ._....,.�...._...r._. �...'�4�__......
<br /> . _ _ _.... ��'��� _ .� _ . ..
<br /> CONTRACTOR: .... a-.,. _,�; : ; _.:_,;. - ,..._ _ - OWNER:
<br /> . _. . _ _ _.-.. . ._
<br /> : ; „ ,_. �. ...�_::�� - -
<br /> , ,-:, ... '�~, � _:. ._.,_!��;t�si�� c;<i�<i i .
<br /> , ; -
<br /> =°� : --,-�:��:, ::: _ _ _ � __ . _. ._
<br /> - - .""r�s :,.;a.�=`;' _ _ -- L ..,'` E i-_ h;i't uJ
<br /> ..,
<br /> Ts Ei� � � i '"��". . '-��.-ia.c_ _. - -
<br /> . . . _
<br /> _ :.. ;;:•;
<br /> _ _: � �
<br /> _ . _ . . ....:, � `•1 .,�.`'t�.-'-
<br /> . _ _ . _ - _- _ ._ . _ G�j �99- -7�v o _
<br /> -�;;ti : ::. . � .
<br /> . _ .:.. . . .,......
<br /> ! _ ,i-.: ._ �:. � �,- �-�:�' t ��-.-�`��� - _ _ _ _ .. .. ._. _ -
<br /> . , :
<br /> _ _ . _.. _ _ _ _ . ._< < __ .: ._ ; _ , �
<br /> { ; , .
<br /> :-.,_::__- ��-y --- _ ,_ _ _
<br /> . : -. ;-
<br /> . . :_. . �._ �: . .
<br /> .�.-?—t ;,� : ;—: � a+�i; � �=`= :i�'< < i,;,',�.�.;. W.�'
<br /> ,�, -� t
<br /> _._: 4-� E ._..� � �_ � i a.� .� .. __ . . ;—�
<br /> '____ . _ . �.� . . ...� _ _
<br /> ;�il— ...tt ; ' .. _ i ;:h'� _ [�f - r, ' '''��'
<br /> ;'.r.; , .--;.'�-�.
<br /> . , .::. . . . � i-�.� L._ � . �''••_'- —•— ! � .. .. . , ...
<br /> L _ . . . .. . _-= . .. .- - -_ . _�, .. ....._ �.�_� ._.j. _.. . _ . �
<br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE v`
<br />
|