|
PERMIT
<br /> C�TY�F ORONO PERMIT TYPE:
<br /> 133� �rown Rd. South • P.O. Box 66 Permit Number: ���'���'�`���'��'
<br /> Crystal Bay, Minnesota 55323 Date Issued: �}{�j����L
<br /> (612) 473-7357 �r�,/i-k�/'�1
<br /> SITE ADDRESS:
<br /> ��i;ti�� �_;t1%At,i�lt i��� GF
<br /> TL�!
<br /> ��. 1 .14. . ..?4—2 S���-1i.:�`t 1"�.�{,���--,�
<br /> DESCRIPTION:
<br /> 1 i-�cH�IPd� �.�Y:�TEP�=; FL_tt�: '=:��L_ _ �'ttE�. PdAT�jfir�L C�t:��
<br /> �ir��=::c ��;=��'�i�'�; ?�1+���.��L �t�4ks�1'��:�1 L�
<br /> 1 NE��i"I t�iG c�Y=�TE!''1:=� P'i►'=��::�_ i.�i=�n�i�� i i�::�C7�.L •�':_:5};t xt#.,_:
<br /> T�{��1'=� :l
<br /> � 4'E!'dl"I L(��T►�N M���;� �_..�::�;�:�-��_�`� i�f���r iC I 4—E:F3TH
<br /> 1 %t�:� L I t�1� I#V:�F'E�:,:7 i�1t���::E j.�;�°=: �I f�it I i�:_��,:�;�: .
<br />� � �� � � �w , ��,� ��
<br />. ;`� �y�,�+i�:� ^'�",, hku d��, ro W ,; �� ��� .
<br /> 91a� 4 Mp��' . � it 'F hqx"i
<br /> �rn�� �� �� k ,
<br /> ��� ��, 1:b � �,� � �A,��,�+v
<br /> ;�;! 2 y �4 . ..� �, � �i
<br /> �� �f � � � �,c., ��
<br /> ^� �,n ' � ,�. s x :
<br /> , }$a�� ,�p.,.s= ; r �gi � r
<br /> � +Yi�F . M� 4�e4,�'�l K3 ,:'F� � ��.� ' M �',
<br /> a ✓�� k %N y� ,��y,,...'.wa�, � ;^� `
<br /> x
<br /> �.'•.. ^i�. N .... .;.�� w H.�"�a.a�± ��.. ,.d. ....,W: . S �.�..
<br /> REMARKS:
<br /> ,
<br /> FEE SUMMARY:
<br /> i��'T V %i� ��i:i't�Jl�
<br /> � L• ! 1 Ill L��VIt
<br /> i fAtJ'ali''L !!��lIS�
<br /> t 11TlTttLL L'! f iL•L
<br /> ��ct�i� �tC �'if_-.(=F {1(y q �t �►
<br /> . .i,%.L,J.��%v v v v �y
<br /> vi �i1tj s`t
<br /> �=�U 1'C�"icll''aC � �ii) + �t:vV
<br /> ---------- sas. ;.�tin�i:•iJ1r�`1
<br /> T�+t.a 1 t=e� ��t:�. �i_) ��:t�:�{•v«�„ �`
<br /> �i� r CiJ �l�
<br /> i.• v�..r� ..i
<br /> 1 J1+J�1�4�V V� 1f
<br /> i� a� '}
<br /> L'1 i3LITt tJV�YV
<br /> j:%i i ii tl}f�/lirl
<br /> li.iLtVVVI�V` r
<br /> \f3 uL.Jt� er�V
<br /> ���'����'�" �:. �:1.U}:'
<br /> i�iii�.•�ii'e-ii'�nerii ivt�.t�
<br /> ,{� �.9ilt'it �'��iri# iSti1 �r�t;+C,�
<br /> ffiC1TL!V LL�Vi ltVl I1J��J11
<br /> f}d.:f!�lS�3
<br /> VVI V 1 I 1
<br /> CONTRACTOR: -- ��.�,I i��,�,�. __ OWNER:
<br /> G#ti IiVTRY'=�I i�E F�iT% � C:��ijL I tdC; ::4.4.ry 1�?'a'i G i L� Fi I C:HA�iD
<br /> ;C��cr;�� C:T� �iC� �ij ���i�•.� :-.t1GAFiWtu��C� Ly�;
<br /> i��LAt�Et�o i 1�V ��:�':�=� i_r�;�ti�i� +-•-
<br /> (,f:�.�.+ ��F.-#r'��"j �`i�`� �.�.��it�
<br /> --- ----- — — -- �_ _�__— _----- --- -- ------__ _—
<br /> , � a
<br /> „ -a rr- ,4� _.r:,�• -�. . �r-r�r��:�.• r, -,r � - - -r,E{ - -
<br /> i�C_ �_+I��.�f�Ci•_��i:3��CL� �"fL�:"lt_C�T� i'�t�':.;y�._if':.v�!:., F"`�.=}'1�t),'.�,'._,i,I_i}`� i { i }.-yF;,� j}-{t: F'I�:.!-!L_ 1 E`IT'F'R�_�����'_1'•i i'.t�
<br /> _t_,.._;,F� r-� }+ _ _a-r-� -r•- - �-�-� ���t�':1.{_�� L.�_����"��Hl4�i'_�� �.�x �i'� �-it_� '.1�'� �.��'-
<br /> �:.•_ � �c.J r!�``�i�; i-iC�i�:r�..s::�_� �f_� i.i� � t�t_� �,�'_'i:, l i<. ''s
<br /> _,t�_ ..r-,r�: ��.t;:t.s-,�_...
<br /> � i��i,i�`i{_{ ±_�t's�l I P4!r-4i'+IL�C•� f=!�4L� ' %?-! 3 �'. �_Ji' !!E.iiijiji�,:,,i_{ �j-i i;��j,��_[) i �`�#li �.i_�,r q�`�j'r_E�.c_�'��`�C.4�� �.�
<br /> � _. . . - `=• . .
<br /> /i'�
<br /> �
<br /> �i� t�'f�
<br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
<br />
|