_ PERMIT
<br /> CI�Y C1F ORONO PERMIT TYPE:
<br /> 2750 Kelley Parkway- P.O. Box 66 ��s�`v�-�
<br /> Crystal Bay, Minnesota 55323 Permit Number:
<br /> (612)473-7357 Date Issued:
<br /> SITE ADDRESS:
<br /> _ :'.� ����{:=. . � . �`��s=i:=._ _.. .
<br /> DESCRIPTION:
<br /> - ,�,;:�;�:s,;t.�rL� :�°�_��:,-:,-:�.
<br /> .:m�..�: : .._., .._,:..____. . .__ ,�_�,_,�
<br /> �',�� i.:�i:��da r°=.rr,iix.� �f yc::.:.� °�;€=._���;�i:��.t•��w„��i
<br /> �-:s�:. !.r_j i �:�� ta;,_3;�:'s:; . . ._ �:az:;7 T I ���.:[�.!
<br /> . _ _ —%'—'—E�(=°�-.i;�" �*'—::
<br /> _.�a?)i��'•�'�t3,�'�.; i�t:i. I dC�F-= �.�',f'y
<br /> Y,+'r)?1�i'� k�l^t:"s t.
<br /> — _,i'1��(!=� i:�`�t;''�t�<< a''`;�. -�.. �.�_ _!.,�t��...�x��
<br /> .. _.. _ _ . . _. . t�i.. . . .--=i�._�f . r`s�
<br /> REMARKS:
<br /> FEE SUMMARY:
<br /> t�;:�.���._ �=,�;� ��:�,;:��,-� , ;�r.
<br /> �"��ri 1! i 1 L,`�:�=!_°`.a" ..,...� f� . ,"�L`e
<br /> _ I � ._��:'7�.:J `".��` L i
<br /> '��E,1 '�{—�. __.�.__� __i. zi�:Jd�.'
<br /> �C'�y f-'_-i
<br /> , !WF 7.�:: i'":=h� .t._�:_, . . _
<br /> CONTRACTOR: -- . - . �:� �.��ry.��t. — OWNER:
<br /> - . _ .� �,:. _ _� - _` x ..��.; :
<br /> _. _. _ . s,,?W j'�s_k'`t"s._t�ty?'•� . ,...... _ . .. __.. .�i`•;
<br /> __� .'::.F, 1�-t t�i�:'�: � . . ... -,:t_=�+ ;'�"•� ..- :�l�y;� _;��.:��
<br /> j',.'. .,�,_ •a= ' _ `_; :;�ti� ' _ , x• :.�;:; ��,—.—..— e
<br /> .lh,t.� i• :"�..�.k�._ F. _ ? C':_tL�{.;_ ._ ..... ._'•.�:,# . .,:� ... _. ''!
<br /> ,?�4 f: _ _
<br /> � 4 1 r� � C r T .�t
<br /> -,-: _ �—
<br /> : —,
<br /> 3 t 1.__ _'M�_c._...:_;2. ,.�:_ E..;'.....� � �"'.��zs�.•n.._ . __ , ._..� _ ._ _'i ._t`� "'._ . .. __ , a;.__. .._ . . •'�c._ _
<br /> t
<br /> _ :...T . _ ;..
<br /> ^� . ,
<br /> '•�'��_._ �t'" _.�.�� F.'. ,� `:.t. ._..._s� I €_�+ _ t_� . .�_.... �_ . .:, � � . . . ... _. _ _�ss T�'? t_�'. *,. _ . 4"`i � j_ `_ �`.� �'
<br /> _ ' ' .., I',1:1 + � �'i.: t � F T
<br /> .� ,,
<br /> � F..��" _.�`._� ��.3, ._.:°ia�.��Rs_.,. �•�:,., �._ s�-i;�_�: I_. "=s� � .:_�m ._ r-� .. . _�a: _ �,��� _ s'. ;,s,�L"' ...i�._°�. _ - �
<br /> AP LICAN R TEE SIGNATURE ISSUED BY:SIGNATURE
<br />
|