|
�� �'�RMIT
<br /> �+��'Y OF ORONO PERMIT TYPE: _
<br /> � ?50 Kelley Parkway- P.O. Box 66 Permit Number: `��"�3
<br /> Crystal Bay, Minnesota 55323 - ��' '-'-'
<br /> (612)473-7357 Date Issued: - -
<br /> SITE ADDRESS:
<br /> `";..3
<br /> DESCRIPTION:
<br /> _ . ,
<br /> , . .
<br /> � �_ -.,
<br /> _. . ._ . , . - - -
<br /> . _._. . �- _ . .
<br /> —�7 +.�:: i_•;�j�-'yZ - � ,;;•.:; _ _ . CE,�,�;'", V'.i
<br /> • , .... . �;t�..,. �. _ .. .• ' TF�f'y_. .. .� .
<br /> . ._,.."
<br /> � :-.5_ _.._ ._ :! }.. f i,I �1I
<br /> _._'"i =_ . . ^ �:-, ,:-j —'.l:
<br /> �.:
<br /> :.::� . _...-•—:
<br /> . ....:•:�•:�
<br /> : i�.. .._s�_'�';,it':
<br /> �':��:5�'�.IIi SiL'}_ ..,_ "y'L" ' ' ' ' ' .L.'._' :ilir:j . . .� . �
<br /> ... . . .
<br /> . � . , ,. s"`.? �'.—� s'� , ,-.s: t) r•, — •,"'s '"'�}`�`lx1
<br /> €�-.s s . ;
<br /> .: ; �.
<br /> ,__ . . ... . �_ . . : :.._ : . � .[__ '.-�i' F•` �-�!_��i's- . . T` __
<br /> REMARKS:
<br /> _ � ._.
<br /> .;; , .; ,,.�, ::! ;- _.': , ,r _ _ ;j _
<br /> , , _ . ,_.. ,
<br /> : ,.:� ,� , ,,�:�
<br /> ,,: . ._ . _ — — -. _ _. _ _
<br /> ' _. � ;r..
<br /> ,,, . . ,, •� ,r.�;•;�, r .�.- . t �; F r.. �,;1 � r .
<br /> FEE SUMMARY:
<br /> _ _ y
<br /> . _ s_._... .
<br /> . s;s't•;:i. �.. . ..�-� . .. _ . _;_'
<br /> CONTRACTOR: OWNER: -- - = _ . _ - -_
<br /> . _ 'tri�:::�— i=? � E:..
<br /> : . .. =�r•;3_.��°�.?._�.�`��•. ���
<br /> �';��{—tr:�_—� :;r�, �:, = .:,;,•-�
<br /> ��"Tu.. '_:�€�'#�..�\`M��5,��#�.�'' �'-t�fLG�� �'.s.'�._�{3_��� ! .�� r;�'_ ,M � -, ; : . . _. ....» a��? .!�. .. t: t �:
<br /> . :=:�'��::I�`��'�'� A�� �;�'��;�'�`=: `T#t C��:� ��L �._� :;. `°��;,���"�3, �=' .,._ :` . _. "':� ' �T-�-a�� . ,�. ,"�' ���`t
<br /> �t'.t'r a:t `� , � . M: �+�`� '-�.' .`_�. .: '� . . _ : ��#k;�. R� �'
<br /> '3�'_�4_ ��i�I t�ifa�°����_� t�t�k.l '-;�3�?��' ���" 1`1�:. .. . _ � 1.�`.t - ti _« . .
<br /> .
<br /> _ . .��: .. .__ . , , �
<br /> L_ y` � �
<br /> APPLICANT/P MITEE SIGNATURE ISSUED BY:SIGNATURE ��
<br />
|