|
�
<br /> PERMIT
<br /> ' G�ITY OF ORONO PERMIT TYPE:
<br /> 2750 Kelley Parkway • P.O. Box 815 Permit Number: �'�'z;y��������-
<br /> Orono, Minnesota 55356-0815 '-�`-}'�-�-�-
<br /> (612) 473-7357 Date Issued: �;};;r;s;��/,a�.
<br /> SITE ADDRESS:
<br /> � ��=�_:� :=';-i I�L I t="� �;=�
<br /> : - - - -
<br /> �_: :.: : : : .._- _
<br /> , . . ..
<br /> . . _ . .: . . _. _. � _ . .. _._.. -::1._� _ ..
<br /> DESCRIPTION:
<br /> _ �►�t�'?��:E F��tl��� i��=��?�_4��L ;��°_� �t���::c :�;i_���E�i��;�
<br /> r1�_�i��L CE'�;�13'
<br /> !,,
<br /> ;'�'T�' ��' t?!'����G'
<br /> L i 1'�jne�r�i.i G,r�I4�
<br /> i,,ii.i.Jvvv��v n
<br /> � V}1 U�yEPF a7J�V�
<br /> i c:�ccLt�rT�(v{�i! .J n
<br /> L/'1fj �Ll��l •JY *
<br /> .. 1 J�J/V Vt{lV V� 1!'
<br /> / { r
<br /> V�i L7L7� 1 i�JV
<br /> REMARKS. L•tlLL • + t L/,��{( ��r.,.,.
<br /> 11L411�% If1I71[!�• IU�JF
<br /> � itlt}i+t'�!i !'!!!'!i !�!� �g Tai,L,
<br /> ltr1VlT1V 4VV.L IlV1 11J•J+J
<br /> f}?f�tifi..'t+
<br /> V t!t V!I 1
<br /> FEE SUMMARY:
<br /> ::_;�;�_�_�,,-�T�{t�f �i , i�t�3i�
<br /> ��.=t:�:: �}_�: '�:^;:; , i:si I`ji�I! 1N ____--__ �'_t . �, }
<br /> '` _ T_t,l �_� -- --
<br /> P._ ='U)'i("ic`3''��' �_•'��1 �r .: F-+- �;=;�i {_i['t
<br /> --------�_. .�.e. :
<br />� _�L,t�f t•ct�. . . _
<br />� f .�, '_�i �i')
<br /> CONTRACTOR: - ��;=, ;. � � ���-�� - OWNER:
<br /> [*j i:ii:,:°=� ;'1 � i I';��'�3 �i1_�_ ,,,:i_� =`c i:,`_�"_':}'•:'i . , '�•7'•_= _�tt-�
<br /> �:'i;i=; t:T� ;�f) # " ;�,� - - -- - - -:�i�)t�i �' i l
<br /> � HIL_IF':�� CF�
<br /> �'�Y;•t�_�?{;'�+ t��+� !=,•�.���.� i�}���_i�•�:t t�;�� !;�;:;�r;
<br />� _ . __. - - _ _
<br /> -;� . _ :�... . , _ _ . _
<br /> j `._._ �_"��e}aG,,�i.'_:; f�i�'y4Y}t �i�.�.F_._ ?` _. ..:,��., .,_ . � ....;'.�c!! :_ -:i I_i�`ti �!_! �';��1��:,�-. �j}-��'. .i?":�..._ _. .�" �' _ . _..?{._.'�; '•�
<br /> it
<br /> :�_..:;-•r�. _--�^+ •• , �,=_�.:,w _ ; : x; : ��_ --r r•r
<br /> ��_� !.F E.J t�}�� (�� ,.__ • � € r i `: . � •�� '�����l_.�_ (:f�,�•2 �„T r:�t;;4_�-= .. �. . :'4 . .....'_ '_ � : 1 �_S�'
<br /> .,� � i .C'.'t ?�4fI i ��,�I'��,'��fV!":t�15:L- Y I i J[., i..j i �.• � �,}^�`..i � t�i�3 i g{li�� ��-`f�� �..i. .f
<br /> ?'9._. .. .._._ �. 9`: C �.�..�1. � ��..L?. _
<br /> . . ._.. . . �. _ . .., ._... ... .._. ._.. . . .,, . t
<br /> L � � J
<br /> �� ` \ ` UL,�!h'1�-�-�
<br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
<br />
|