�'ERMIT
<br /> CITY OF ORONO PERMIT TYPE:
<br /> 275a Kelley Parkway- P.O. Box 66 Permit Number: "�`f`-''�"-
<br /> Crystal Bay, Minnesota 55323 :��� ���"i,���'
<br /> (612)473-7357 Date Issued: _ _ _ _ _
<br /> �3 . _...,.� _. _
<br /> SITE ADDRESS:
<br /> �.Y.ie.. t�l_i'r,'i [ ��i .JF[��1f�.� ��iZ
<br /> _�'.�
<br /> i�'� . .. . . . . ��r':_i" i 3, 1�^,..���—i�i"'t���_St`�`n
<br /> DESCRIPTION:
<br /> ,. =:.s�.i._ _�"��€�i:-ti.#-1�.�4- ('i•'-�e��:` ��.t�t�.' ;.:�r^!i._
<br /> _ , ,__;'�t_!�:� t_{:__ i�-j3::��.. ��_%`t_ �..��.� �'li-;��.,:-, .�;(,,:1 Ji: t,j1=:f
<br /> REMARKS:
<br /> FEE SUMMARY:
<br /> ��i�i._�_+yT I��►�� ���"= , t_��:;:�
<br /> �;.��,;� i-Nf_ - ���w'`. ��:_) :°;iy i� i;,t ._._.__.___ '*�"'���+7
<br /> =�4.,41'ff`t=�!'+�=' ___.�_._ _��.� ''� ' z�t�.�1 ?"s_'V' !'?i��._. __
<br /> ._.I�F f�.i_�T,,,S�. ��'i Y'��.!(.!
<br /> CONTRACTOR: _ ;�;.:�,� is�,-Et. — OWNER:
<br /> t1 s�ai�i�:��.��i i� �`r T�i+��i_�:�!s."� =_;{�=�t�}°�i'=-'i ;�ii=�r�i�-� '��i-���}�� i•;��n Z}�i�
<br /> �t.�iyr �,"!!y'.' i«` f.`s" _._:.i�_ �t_r`: ! i-i ��!-{I�I�;;�� i:,�-�',
<br /> • '-'s f S':_';.�! t`i7t! _�t�. .;_ �_1F±;t_31�1! ��`d `�•=�1 L
<br /> . _. __._ . ��:�:E_:—���_ �.!(—,;�(�::'.-
<br /> I�� i_�i+�,_t�_�'�=��f€3r��Q .sr-i,��,`.���'� , ,€:.i,tt..`ssy €�`�� � ` f;i*�j'.w::_�I ,�„ �=_E s i,-'��:� }��?� °'+.--, ..._ 3.i . ._`�';�.>'F�-;`3 i :�;
<br /> ._,__ _ _ . ._
<br /> '�t`'�.�.�t- �r 11 r,�'a;� Y�_.�.�:..3"_ �1�J _1?_[ F'��k... ��w i'.`�, =f`v '��`':'.- _ _ 3µ�i 3—L.i��2,'w .s-, ...�, f ..� V;- - i" _':i�
<br /> �_ ,, w _� _ .
<br /> c,, s; ,S T _•_� :-,s••t,; >_: 1 �- #"{{" e i� t- �1 � t r ,.t; {+ i- :t `�r-s t -
<br /> ;- - -
<br /> � s_�. .��t��_� +_��.�..�, .. . �_:..�_ :�:�' •_ r=t� ._ _ t1_ __ _ . . . _ �__.. .. ._ _ _ _... ._ , _ ._ . .._ _ . _._._�
<br /> . .a ,� .
<br /> J
<br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
<br />
|