|
PERMIT
<br /> ; �� r�3 �� PERMIT TYPE: ���
<br /> n Rd. South • P.O. Box 66 ��t���'"�'��'���
<br /> Permit Number: +zt:�'v i:::�_.
<br /> �, Minnesota 55323 Date Issued: i�f r'�_.�:'�:�'=�
<br /> 357
<br /> �:
<br /> �-;:`� L_'t'i I�:.: s�V�
<br /> , � E:��._E�[:�::; ;
<br /> :;f�;,;�,��
<br /> ?N:
<br /> + i`� C;t�#���c�
<br /> =i��i 1 t�i.i-��� �='�s�ri�i t. T���� '�=t�� i�i�I!�`--t��.W
<br /> f���.�i 7.��i)��� i�i�..'€;: �v��w i;°��'=��'C��`:i�t.�c
<br /> _�i=.;�: i.�t�_s�ip�17,�Y _ �
<br /> . 4,.iFE,����.7'E�.F, �_l i�.:7� .:f Y�t�^' � -�1'a . .
<br /> . . �i1.w i i:� �
<br /> REMARKS:
<br /> �I:1"�!• ...i" hi ,�..'': P ' f i�—:T f•". 5�.' T _•f•. S !1.�.�,.i.i �,�
<br /> :��F'�r�r.r�7�� rr�ia��Il��:�� �';�t,tij���) > 1-'%..���-���at>,�t�; ; s�_�.��-�i�i'��.{,•r��; �1r� Frn �r :�:E��.�i; i.:i��i�1`�ir�.•� I1`_►��,
<br /> =T I�;':-'1 s^�: i i= ai-=i=`i T�:t=�:�I r`�-
<br /> FEE SUMMARY:
<br /> ',�,��..����':C F='t�� �=,,:;.. �;c::;�
<br /> ,{ �_-:
<br /> {..i�'�t+ ["F_Y �'+�i•_.i_ ..l�,j
<br /> t.�
<br /> r�"�r�'
<br /> �'`�.�}! �F.'Y 1 k'4t} y.r`.%•� . ��r�
<br /> :=�!d 1'k=T'1�=4 i''�i�' �.::�� .c 1t.'
<br /> L.r.:-. �—rr
<br /> ,_,►..t�, �...!:�,�)t�
<br /> '`.�E_ �{ 1 t��)
<br /> =��i�: �}�—i�.t�� _.�_____..__.______...____�
<br /> ?',Y'�,�� ;'Y� �,! , :;#,� , r�.:='
<br /> CONTRACTOR: -- ��:��,i i�_:�f Et. -- OWNER:
<br /> !P^i s!L ' i:_T t •7 ���•
<br /> :�:�-aLs1�'!�.�i �:t_3i�._�f�i)t. t i i_�t�€ !�1..:=.i`f t,3�# :=:�-:�Tii i�� �:i_t�:�:i��i;i�: ��.'t:'�f
<br /> :=;�j.i ti i J�;�Tx�i ���� ��i � c li�� i�;��H t���E
<br /> _�(.:.
<br /> �y r•,;,;.a,: � .! Gr''_`�' r``ii If fi�.i._4��+� �"�t�tii; i,'q'rift�.s I`iL.t::i.pC
<br /> ���i_fl_i�(ti,{V}��V I"i—iF't�'•.. E��Y _.�}.���';��# L_.! �. . • . .
<br /> ' � � i y �r/T�.»�..l t..��
<br /> .�'.�.;i.3 -��i«•,i... -i�t^j� . _ ..,"' ' �
<br /> � �2, }�{r .}— �. . - : ,� � e�F i� f�.._. _F�,. # .. r...T�.1 '_ _. .. { F„i}.F i_- iS. .. ._ Y�_ . .tf. 4T ..., , � .
<br /> , � _ _
<br /> A: � �� 3 4 �i 4
<br /> _ .T _ . . r . s -
<br /> . �5 { - i i.� I"� �}3 �'i .4 .. _ {`�'� : , 2 f . . _ _ e t
<br /> i
<br /> .
<br /> _ . . . . r. "�; "
<br /> { 3 P"��'{
<br /> �i:.: � F: ' . °.�I , 5��,._.}`i ,1 i" ,. _ 5....f.°j . '.' � " '..... �.�. , _. ._... . . . . .. .
<br /> • � 1
<br /> t '
<br /> i) .S._3 3_ �i,. 31`lF.�...+..,- . ,!_1 _. Y W.. } S�Et � . . 7
<br /> _ J
<br /> J F � 1
<br /> J
<br /> APPLICANT PERMITEE SIGNATURE ISSUE BY:SIGNATURE
<br />
|