|
� �'EIZMIZ�
<br />� �CITY OF ORONO PERMIT TYPE:
<br /> 2750 Kelley Parkway- P.O. Box 66 Permit Number: - � �'�`'�`_°
<br /> C;rystal Bay, Minnesota 55323 Date Issued: - �- - - - =
<br /> �612) 473-7357 _y�,r�__ = _
<br /> SITE QDDRESS:
<br /> _ _'i i�l�;.�£i #..,. _:;-�i+�=..._ .�[_+:
<br /> - -- � /—� .x .._.i�-J•-;:a
<br /> DESCRIPTION:
<br /> _ � _.._ ';�� _ ��r i;
<br /> , ,_, ;. ��;;�::_� :_� — �'t�'�:r�°� 's��� —
<br /> _ � _ . . _ _� r�.�,� C•t}—�-�`!--
<br /> ;>_�1 i ,�i},s-},� l�.ir}:�.:; ���:�°�1 h;��i�,�i�i`•��}'�l��f h`f-i�1E_:'i��,_
<br /> _ ., _ i�i3_����i:�.tl;� �'--:�
<br /> ...I�ii iw i.�'3.ji f_�i�F}e J��i-:: .Jfs�
<br /> }1•" - -
<br /> �., �_ .. '_"_ _' _'___......_'_'__.___._,..___..___�"—.___-.'_.-.
<br /> _'_'...._'--_.'_".—_ '____�
<br /> REMARKS:
<br /> �>�
<br /> --- ------- -------
<br /> FEE SUMMARY:
<br /> �=�1_:�;�;;�_!_i;�� _ = I:�i_:i�
<br /> . _ '� . . _
<br /> „�i.l:i !'i�,`:'_ _, ._.___._�..._._ r.[5:
<br /> -—:f..--� �'' ��+r �"—
<br /> CONTRACTOR: OWNER: _ F-:��:�:; ; ; ._;;;�_ _
<br /> _.. —__ `—=`��-'��—
<br /> .—�(J� iv: ��' t�i.� 'L:•�'"��.5� �:���
<br /> V}y _ _+ t . ._. . . . . _.. .r,i — — — _
<br /> ..... ,.._ < <. - '— —— —,_ . __ .,. . ._
<br /> f :�k.. , i�, � _ ,i�;�1,'� �•Y.:_ r�g; _ s:.�:. i,. 3 r 4 ` � — _�,.,_ } f' # �
<br /> ;_ �� ���
<br /> ;_•_
<br /> . ; s� _: ....._.�._ �•'._._ +,._, ,. ::s �,.t._�_,_t__•_� _ . __. :'s _ _ _ _. . � , . . .__ I 9 .__ _. .__ . . ._ . _� .___. . _
<br /> __ ,..,..__ _ — — — — — — --
<br /> '—•�'�-t 3 = : r ��..: 3 !.� �•i : t { ;.}_ ,. _
<br /> ;"',y�:�r,'�.: -, _ ._ _
<br /> .. .:-
<br /> � : ::.,_�.J� : � I`�f-=`•3'�`���� . .. ._ _ ;�i ..,_ _. . ._. ..__ ._ -. ._ _ -�__ _.. ,._ ... _ _.... . ._. , t�'�.w_, .__�+� . _ . I
<br /> ;�.r:r�� � •_ , ;_ 'r� _��
<br /> r��:::: . � . : � . : 4 � � ��,?E-y '... �..i�
<br /> � � . :. : : .s .. . .... .� `: J
<br /> r
<br /> � w.�
<br /> APPLICANT PERMITEE NATURE _ ISSUED BY:SIGNATURE lO�
<br />
|