|
PERMIT
<br /> � C`i`fiY"C�F ORONO PERMIT TYPE:
<br /> 2750 Kelley Parkway- P.O. Box 66 �;��::;-��;:��t�,:��;�_
<br /> Crystal Bay, Minnesota 55323 Permit Number: ��; ;Nl;_:�;_;
<br /> (612) 473-7357 Date Issued: _ _
<br /> ;-� ,,�,-
<br /> SITE ADDRESS:
<br /> j,�ij.i_! ="_�`';���� `.'`R '`.j'
<br /> �_fi'I
<br /> �-' T . #�,i . . i i`=;-� i ;-.�-_ _-i:?t ii:::'
<br /> DESCRIPTION:
<br /> �;�:;:�: �T�;�_�-'�_��_:�`�.
<br /> _ t" !iz.�i'Lf-t�•,� 1'i6-�L+.` #`ai-{I"'s r�._[=t_#ty �is {�W's�t_ iii1�,�,%
<br /> REMARKS:
<br /> FEE SUMMARY:
<br /> `-,;�f-'�(_i;:'; i 3 's ,:°v °�•_° . t�ii?_:
<br /> ;�.��� ,_ �•�::�, . i_s{_i #'';-�l i �E;( _.____.__ -�.
<br /> ���ij � _��_..•`'
<br /> -�I J t'[t'l:i,}`?�r_.' _�_�__..._. ��'1 �1�E (s���,..�s �-:,;+:� �_�,! . �!!
<br /> �,1 Si�s T.�_t;.._+,i ~�_''_V{_i'_'
<br /> CONTRACTOR: _ �,;:G:� ; ^;�,j�_. _ OWNER:
<br /> ''��'`ia".�`'{_f„it.!- 1_`!'•e i�t1 i � _ ,`_e{�..�'_'�.=,i�'_` _' ! �3.!���t`i 1''•.s {`�1'����'1:���
<br /> 1 �#�_�i_' �:'!=;''�'�i�3,..� �. ;,ti .:�i F;t�::-�i;�_ i�'s i i
<br /> �L_4'L� . �. . F'�°_.
<br /> `�1��I`��..i�f i�;�oC�'i },3r,,� - - - - - �Wl�=`�_l���i_i ;'!!;i �`-;`=i i
<br /> i,��i:... . .�:;�_ _ �f
<br /> I�'i- i!'Ji; -� `s : �`,:!-�t -- `;'[-i- $-i:- .�l ii.`-�T M- t-:�;.`-�.i... - - rrs::,;?;. ..�i- iY;-r-;t i�':f� :t:•�. -- -
<br /> . . .-- -. ._._... ._. _ _... ._.__, . ,�.. ._.__.. . . ..-� - --_ . _ . _... .. ..��.. ... _ ... . . _. : .. .. ._.. . . __ . ..,... ..... _. . �.%_� . __�'%"". _
<br /> . � �.. �� � , , . � _
<br /> _-�r`` T`-- -: z: ,:.,. , _. _.._,...- - - _, , _ .' ; _
<br /> �.t-'��._ S �- f �-,{� i-a':.`-5;�� _3,.�`.�.=�'_: � �_! �`!�� =!'. ( �%rj._E+`•.��•, �I'�� �. :;-c;T�_.� `_�„':t'�?-`�_;:�;'�.f;_.�W �.4= � `i ;'-;�._E._ :1. � Y _..
<br /> '�i �}i ]i�� _ ��:t:r' _ .,r.�.. ;.. ,...,..4'it . - . �'t F 3 _ % �[ � F' �
<br /> '_{{"'._.F �_! _ � � v'�F-i�'v..i'. � i�•�e.ci,..j i 3-. ! i }...3{" , ... '� '��..•i.,,: i'�•z �' � �.!.._�..1_. ... 1 .«_ _ �.,. ' 3 i��.. .._... `� .
<br /> � .. .._ .�. .. . �...._. �. . _ . . . . � . , .. .
<br /> �.� 6� �,
<br /> APPLICANUPEFiMITEE SIGNATURE ISSUED BY:SIGNATURE l��
<br />
|