, + � PERMIT
<br /> CITY OF QRONO PERMIT TYPE: :: �:. -�
<br /> 2750 Kelh�y Parkway- P.O. Box 66 '"-'�—=� `-'�"`�
<br /> Permit Number: �:li:,`�;�t�s;,
<br /> Crystal Bay, Minnesota 55323 _ _
<br /> (612) 473-7357 Date Issued: �=';':i��.>'�;
<br /> SITE ADDRESS:
<br /> =,; � c fv;�,:;:£ :� _,;E��`:�. _�, .
<br /> .�:=�
<br /> - W_. . . . . . _ -1w� _.= _._ _ _ � _
<br /> DESCRIPTION:
<br /> ;_�S tt_7 �i�� =�•1'(iE;�. �'{F:�ra i.;_ -�_ii�.tL��ny�.y:-`i;l
<br /> t.�l.�: 1 fR�.S'`j �aii tj'�:. ���'� �t�.�'i�!"_�.'��.Y I�`�C�l I'��=.
<br /> REMARKS:
<br /> FEE SUMMARY:
<br /> _.�,.T::. - �_: . - _ . _ .
<br /> =:,�1�}��t���,��:_ _____.__ `_ -
<br /> ���F�..a� t._,T �*�;;{j��,t._1
<br /> CONTRACTOR: -� =, , = ��,���#. — OWNER:
<br /> - �-��� �"�'"�i.� f'.:".'';"F':i 1�'�j��j,_; �,:.L�,�.S-�:-�,tiS,) . .. . _.
<br /> --;:y;..._� _.: .._... _ :v _ _ .. ,_ __ _., .._
<br /> :11 ,�1,��. ..�;, I!'*,!(i_� {-�E'3 =�i .1��•. {`,:i�ih # i� :��F-j{»il-;:�:. !);;
<br /> c:r r.,_:__=:.�.i�:�;° r.�..; r�--:� ;-��=;M�r,;;w� r:r,; �:�,:_,_=��
<br /> . _ _. . .... �. _
<br /> � :.. � . .: . :, : ,, �:
<br /> . , ._.,��r•t.c,.:�` ''
<br /> ;; _. : �
<br /> , � , ,. . :_, : ...;. : , , :;_'..;
<br /> •_,!.�•_ . . . _ _ _
<br /> -� .�_ :-,_.:—,�_.,.�._,:- :..f;�i:;:�=�-,�:�' __.,`; _ _._3n� ;;� ;1 ' , � : 4 ._ ��3"°we
<br /> . ,7' _ :,—
<br /> i i'� �il'v�1r il•+!��#�i=�J i t:y.f .t�_. S`� ��i�.,` ' _
<br /> _;: ._ _ I�:C f'�t�.�: n� t�= � „ _..... .. .. . . ... . _ _ _ _. _.� . _ . .
<br /> Y. __
<br /> r=�
<br /> . �
<br /> . -.
<br /> —'F-,f;�I� ) ,: 3 �f-ii-._�_. . '•_ �,. : a � . i i`,i —� i �—:`:L.. r �.iWifri�'f Tr . � t_f�
<br /> .." _ �-,_—, � .
<br /> 1 / .i .�i . :.�., . �� �'^F'A, i�t t
<br /> � � 1 i �- � . ' . - �_ . ._.-�F_.f I� ���:i i...�3 i tV;� ��_i.�� . .
<br /> _ .�
<br /> � ,_�, .�_f a_� s_���G I t��P�;_'r� �. .� .. _ ,__e . _ . .. .
<br /> L _I
<br /> �n��� �
<br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
<br />
|