� , PERMIT
<br /> CITY OF ORONO PERMIT TYPE:
<br /> 2750 Kelley Parkway - P.O. Box 66 -
<br /> Crystal Bay, Minnesota 55323 Permit Number: , : __
<br /> .,;,`.. .�, ;;_.:
<br /> Date Issued:
<br /> (612) 249-4600 s i_�;'::i 1 :'°=:'=i
<br /> SITE ADDRESS:
<br /> `,..�;,_� ::•;r��,,�:�`��=:;M __:=�
<br /> �-��,
<br /> " . . . . -. - - - -.=- _ _- .. �. ... ..
<br /> DESCRIPTION:
<br /> _ }�.�r� 1 t.=`•J;�. »+�7�� i�}��= c`'._'•1i.. _ _.._.__. _... . . . . ._ . �`���, � t-i i;�i ��;w-i { �_%`+'.�-��... .���W�
<br /> j'li.:�:,w-, {�i:-:��i', t,:;;et.�`_ �it„a�'t�j�.�?Y�-�i-i._i�-;'
<br /> ;�ii���'i 3 t `_�`..} i i_.�,_��_{ _I ' _ _
<br /> _ . . ; iE:�#°.:'� ;���� , d;t�i;
<br /> j -;r:y_ ^ f;.:,,..•` _ . , _ _ _ .. , f=it�tF:.`i�;t:,��,.. .�1�;��'_
<br /> _ . .i E-t' i.:„€{'di:_ t _ ' , f'v'y . 4nt'•.�. . .°�t=F:,{°� (;:,,t?:t-.i .. `�� ..
<br /> Ti_'tt'�j=; _`�.
<br /> � `J�?x i i{_;-;'j i s,l�;j
<br /> REMARKS:
<br /> FEE SUMMARY:
<br /> . .-._.__. . . _ _ �:3 . . _ _:�;
<br /> �=.•�;� =�:w . =7 . �i.z ;1'ai�•-�i, ;:`w� _.._.__--_ _�;-��i��
<br /> ` � ' ' _ ,��.
<br /> -=���ti�!�i''�r- _�.....___... ����...m`.:i �:tT•�,�, ;-'_— ��%E_i.;_ • - -
<br /> -,1{i.t'[.�"�_.._+,{ 't {j_!�, . ':f_i
<br /> CONTRACTOR: -� . , , �' � _ _,_-�'; --� OWNER:
<br /> _ - _,..� �. . .: _ �
<br /> � ._.` 1 '-�`�i�,1 �i ;-3�.`+` - . - '= •• - -, _ •-. ':f t-;.{ -�!` __
<br /> _ _ _. .. . . s :Y�
<br /> --- _ . { _. f�` ' _ {..t - --='t-' .�i�:.�''f�:�;� f �.1
<br /> ' � }.'vC��_i F�;L+'i_' i'viSr �' t f"'..
<br /> ����"`�"��d•`.-`Z• ���``' - -' - ....-;7 ��'u9~t �;'�S _�:=t�
<br /> { . , �.,r .- j, y- _
<br /> �..[y�, },� :L ' $ ��' F,.,,
<br /> ' �7 iF� t.s�°u 1�"'�•w'..f ..,2. .i..,.� ..S..L_?��._..». i .:.f .L.j_.t_ _ �. 3 •_� �" ..... '..i_l,., _. ... ...... .. ., .. . .."d.�'.�.... �{C?... .._... ... � . , . ,., . ..
<br /> �.j+. r.Tr�-'j' t t� {� `� . .
<br /> '.�.�'}��_i t_". L�� ��f-�l�8!!�'��iiy'i'1"`s._`.�_. ! *�{ i.t°..* .!"�+w. :�...t'�,ii ES-t ;, rv k�..�d41 �F ....
<br /> . _, _,.
<br /> � ' i ..x 1.�.� =°. i .�! �., . _'i . < .. ... ._ . �E " .t€"'
<br /> , .w
<br /> �.' .."' r .��..i �.w ..::`� .wr��. ^. . . .. _._ .. . . .�.4_..-.. , ... _ [ t�._. _...���_$��.�. � }y . .. . .. ... . . .
<br /> _ _ . �����. #,i� �'� "P- -�f! !=� !— # � ;-; .' 3^s s -;
<br /> _ _ _ f
<br /> L . . _ _ , ._ �
<br /> ��z(�C� ��
<br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
<br />
|