PERIliIIT
<br /> � �,�'TY OF ORONO PERMIT TYPE:
<br /> 2750 Kelley Parkway • P.O. Box 815 ��;;_!��=_F:����{�
<br /> Orono, Minnesota 55356-0815 Permit Number: �^;;ti�.,; ;_�,:,
<br /> (612) 473-7357 Date Issued: ;:;�_,::� ;:;:,::a;�
<br /> SITE ADDRESS:
<br /> .....'L_ ;-{11i_+ :'��.'`•;;�'�'�. . '-;t�'
<br /> T�
<br /> - - -.r�.. . _. _ _
<br /> :'v :.i.::—i 1?)':`�
<br /> DESCRIPTION:
<br /> �'�;�'!��s._ ?y.,�;�-;—;_ir�
<br /> '! ! i �'':`�-•ffit �, =•rE-`E�; _�;__'i-?��i!%!�'•.�I`#�_�i�`�
<br /> �'� �a.1 i�.:i F r� I.'_
<br /> �`L.�� l i�.��t S�J �.i.?i.,i j'r� , �°�.+W t'S�.—'i5� ��..��
<br /> �?Y i!i .'!i�}�t!i
<br /> L.1.7 1 L•1 L'!tU!(L'
<br /> L�f?f:'tRi:'i L!_tt'L
<br /> ! 1tT!'t7TL�L 1.J} 1 1LL
<br /> � i T i 3e}:}i!i 1 }A
<br /> .iJi.J1VVVVV T►
<br /> i�}* �At �� !�'}
<br /> V1 17Lt7 lirVL'
<br /> ........�:St}!ti}i! td
<br /> J.a:..tttt'VVVV rr
<br /> 1J.1 UL7� ,�'�7V
<br /> r"�ii�i�k' Ti � 'i
<br /> L•!ILL•/1 !L !�'!e TU
<br /> f1L1rL1! 1��1l1fTt�lt 11�'L'
<br /> T*/JL'L'Vf�V 4��b�1 ilVl 1.LL3�1L!
<br /> iii!T�'iri
<br /> � VV•'S7:7"Y
<br /> REMARKS:
<br /> FEE SUMMARY:
<br /> .;�:;� : �:�;.;;�:�.._ �4 f '��. 1
<br /> �__.__ y-__ �:�:� . =�;_;
<br /> `�i� ��Ir3 i"�_(i-' — i.f.7'i
<br /> :r•�:.�1 F—�-. ----------�'r��.�.i=�
<br /> CONTRACTOR: — �'.:.-�,-°i ���:-_�.:—�=: -- .: - . _>>:" . OWNER:
<br /> _ : _":.'.•r' :":� — — _ — — — — — — }-'�it ii
<br /> :.''.i'� � d �_1.�.._._:i.�-,�.� ��:��iL.�� ....L�
<br /> — - - — _. _ . . :Y�� : . � .. .._. _. _ _-. ._._.. ,-it i�Lr=�r��i_s��; f;;l:�
<br /> i �:�� - i �•., f<E.: C�:�z::_
<br /> . ._='��:,i,i'•.' l['.; _�._ti._�/..�.'_-� €_E `._!;.lf_i , 31� _. _. _.•.,r�
<br /> -:•: ;-- : • �.r-: _ : - �-- , - - -
<br /> .
<br /> i .`-ti- :i�,!i 7^-r,�� . '. t-��`�{-�' r�i;^ -i�•, , t - ��� - E E t� �t i �;-t-i;; �!i;'::. s``:;,�,
<br /> , ._,�._,- _ . ,. . ..._ � . , . . . .. .. ._. _ _. _. . _. . . ... . . _... ....,.. _.. . . ... . ._. ._.. . . _.
<br /> ,�;:, i . . r -, .�- ' ;+r''�� M C�'.;:` " +;_.. . _..�.- — - —�
<br /> � ,��
<br /> . . � � �� � f—ii'!I_'• ,.�;y-,. � S , f^ .. . ..___. :f_.. .. . �f''• — : ,''?�� E _��.=i'�!—`�.._!.-:,?. _ .. _ . ;i s ;r-
<br /> _. .__ ,.. __...� . ._� ..._ . �. _. . . _
<br /> ,-�s,r:�.�-: ;ir',}- ��: •. i'.,�._ ..;. i, ' -it..,_i.-"+'_.
<br /> t.�.4 . ,.r. � . : %`l?iu, ;3t-, i-�'t1�; �1_ ' : . � e
<br /> L ;_<�r_ . ._� �_.rq�,}��Jf;f��•_ �-�6'•'a.. �. �. . . .. . _ _ _ __ ?.�'kE-� _ I,..�_ �-" r.__ . _. .._.. __ . . ... �
<br /> � � ��
<br /> APPL ANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE
<br />
|