|
� �
<br /> * PERMIT
<br /> , �TY F ORONO PERMIT TYPE: -
<br /> 2750 Kell y Parkway- P.O. Box 66 ��`•�-��`�=���u=i��'��=
<br /> Crystal B y, Minnesota 55323 Permit Number: i:�i i°�i,�i_s=�
<br /> (612) 473 7357 Date Issued: _ _ __�;_����
<br /> SITE ADDRE S:
<br /> -��'=- �;; �__.:_:�� �;;��
<br /> r ' ... _. . - ... _ '". _...`;_�.�`f_}-;:
<br /> DESCRIPTIO :
<br /> .: :. .-.:_ �.-.,:�_ -.:�
<br /> -'E...i-t�.._�:: .� .. ._._ .-;{.=.._=fW'. ;.?z°'u'
<br /> REMARKS:
<br /> FEE SUMM RY:
<br /> _ _...:
<br /> . . ..... _ .- _������. . t=r� _
<br /> _ __ ��i:� . _;�,
<br /> I .,.... _r} j.31�=� .�._,._��., _¢"���i)
<br /> _,�.��ii f-i�:;� +i.�,,.„� ', i:{J
<br /> CONTRACT R: - �=�r�;=°:� _�=.���T. �- OWNER:
<br /> . . _;r.V L,:; �r , _ '(
<br /> � .,� �,., .':�.. t } .��Lalr.f». 3 . . .,"� r _ .. lJ1'!
<br /> . .., _.. ... . � _, .. . _. "'.E .
<br /> — - -'€ s=�i"�:lt7ii�i�_�i�� :=1.._+:.._ .. _... .. � � .. ._.'.., . .�'
<br /> �
<br /> i�;!ii,i:.!') ==:s:s w _ -._ .... . . �..� .. _-
<br /> . ... ,; _ . ,.. _.
<br /> _..._. r
<br /> �'i..4i.: :; i� ',.: l s :�". �..�': ._. .. . � `i`',¢�i _ .. _ _ , . � ' �f_ _._. ._. _! .. . .�.I;. t=ir .. . � _.
<br /> ~ t. �, { ' i _I .,.: �- '
<br /> :_. ._ ._ �: � ,_.. . � � � — :
<br /> __: �._ . .... .
<br /> . _. ._. .. .
<br /> �- r'i"'� . ' i.i"` � i. ,_. , �" "' t; � _. y ,="�i�'; .._.._ � s f , s: �E—
<br /> ^- . , : � .
<br /> '- ' E- f ' 3 '#" : � : t 1 f;. E,f'4 : 1 ' �
<br /> _ �, _ r
<br /> .... .. � � ..t. t•-li�t� .�_s. .�_�_ � _ _ _ . ..,_�.. .'� _. ... � �l a.�-• . � .1. i, .. .�_. c�� .-r..,;.�_ -_,�.T� _?
<br /> _ _, .. _ - _ - _
<br /> ; : ` � � . ...:'3�,�N'�',{�f�;_. }�z�*tt 3 :r,�`��t� � f, ._aa�:t�-`'�t_3�Y� F' }_ »�,.3..� . .�.. �_ •�s.. 't � .__. ?..,. . _ .
<br /> - . :.r 's. � �. ..� ,3�, ..
<br /> . _ _ _.. _. ' . ' .. e.. .. � � .•
<br /> L , . .�... �
<br /> �/' /��
<br /> � APPLICANT/PERMITEE SIGNATUFiE ISSUED BY:SIGNATURE
<br />
|