|
_ ____ _ _ _
<br /> �PF_ 'l�IIT
<br /> CITY OF ORONO PERMIT TYPE:
<br /> 2750 Kelley Parkway • P.O. Box 815 Permit Number: � �'�-'�!='E.�`�L�'
<br /> Orono, Minnesota 55356-0815 �.t;a`�.�`�
<br /> (612) 473-7357 � Date Issued: �};��{}r,�::;
<br /> SITE ADDRESS:
<br /> •�•?:�.,_; °�=�-!t'�#:�Y�1��#���4� ��
<br /> _1'��
<br /> r' . I . �•�. f r'--1 i:—�:�,—�.:=�--�r i ���;
<br /> DESCRIPTION:
<br /> i;�}�;{.�GF €;LTE:Fi�T I���t�€
<br /> F,tr#I �.F�lli� c`�i"fitit• T;���� �1�"'H���rt+��'��k�L�
<br /> ��(,.l'i }.��1 1 i� �_+j'`�: �V�'E_' �-{G��_��J�2��f�l�!"t�_�[..j�L
<br /> t f�`�: I t i c��=�a�-�r_y M--1
<br /> t,.t_ri"1 t;C•!L��f-1+_!)I ��V��� V C:}
<br /> uITY ur u�t;���
<br /> { �{.l(r��{3��:(�'�r'�� uf�.:4� {�
<br /> I J1 Jl V�VYV{/ A
<br /> �i / J-'Vf!j1(� VLt�f �f sVV J�
<br /> j�JV}t{f!V V i}� !'T
<br /> r {
<br /> � �!1 VLI� f1��J
<br /> { f'�i2fJrj{��
<br /> 1tCi.i.Y\��%V y� '�
<br /> .v� �ii'i i:Vv} �
<br /> REMARKS: �''��4''t' T'- �;'"��
<br /> �i�.r.��i��-iiin�i� �vL�
<br /> 1'Ttl�lL��.V 4Vlsr!�1) ��,r r+,J.�(z�MV
<br /> r�j:;�':::�����:;= =T-;': �t r,�:=:��='L�L:i;s$i�1 ���.�:=�i�°>= �.����E;�:��:: E��j�I�i'= . _��?�-�T:: �-:LEt�T I�:�:fa� �'3-r���1 I T �;tc,t�,�'r�t��:��
<br /> �•�,:� .
<br /> FEE SUMMARY:
<br /> ���������:_ih� �;:, i��ii�
<br /> ���s� ��_r �'�'� . ���?
<br /> �'��.ciYi �+M'1/I's=`l4 �f�}�. . ..:��t
<br /> `=���i'c���-�?'�a� -----_ '�'�_�'�.}
<br /> T�=t.:��, �"�� �:#,r,7 . �;,
<br /> CONTRACTOR: — ��,�.j ���,-,�. — OWNER:
<br /> u�;`= ����t1� ��F'r�i�i =e �E1�1�ii��? 1tl7�.�1;_�i�c ��►{,��tt� CF�Viu
<br /> �.•i°=�'� E,��-;�2 ��;i�lE �':�:;.c�, :�:H;�C�Y t�i���i�� �;�'i
<br /> �•�f�f�_1�,� �1s`� ��,'�:<<::a- ��AY�r�Tr� t�C� ��_;��t
<br /> r_:��__. _.."' _. _ _ _ i.i�— I�M`_-i�_'
<br /> -{" i:" 4 'i---�-:_ , �-.,_�,. ..._.. . . .; .
<br /> �-� .1��?:;�i't�.���.1�4',::._1 Y�._t"`.'-,i;•:r �,.i_�.�?_:;-'.�;�_=: f='r=�lt.���'."�_�i;_i:�.� �";' �:���i�'=.� ;�'"I?= I�:���i ?�'�;='f=i9;t,��f'�i_���..i.
<br /> f ..� _ �
<br /> ._ . ., .. _ _ __. .. _ t
<br /> :-��'�f.�.1- �F-.�� !€t33_! t��a�;};f��.',_.. � }_� `.�.1 �-i=_L., r:��_:n.'F�., �i� �_. E}i��. ; f_.i„'s;`'�;�-'i._�!-i3`�!t.� r�i � �'": I�L.=_ i i ; t. :_,i�.
<br /> � -. • .:-.�
<br /> . �f h� , E �i f�, � a �{ i - � ,_��=- ` ii- rt,�� i - } 3� ��}i " r tE�s; � � tr�;- �,;l�i.'�i�����--�`�-"�.�.,��-
<br /> `_t�"�._�,��_ .#. .?��>�F 13�,_,�__. .-!� . .. _ ., t __ . . .�. _.�. _ `: f-'i ._ _ :L's.�=.t;-_ _ _ _. . , . '.._! . _ .
<br /> �. �
<br /> � ��n ���
<br /> APPUCANT/PERMITEE SIG ISSUED BY:SIGNATURE
<br />
|