|
PERMIT
<br /> �TY OF ORONO PERMIT TYPE: . _ _
<br /> 2750 Kelley Parkway- P.O. Box 66 �`�t:�_:�'�=i���t:r�?+,
<br /> . Crystal Bay, Minnesota 55323 Permit Number: � - --
<br /> _%1�!`r'
<br /> (612) 473-7357 Date Issued: ;:�_;;.;;;:.;��r^
<br /> SITE ADDRESS:
<br /> ._L l��i�'�i G i-i'
<br /> _ _ !'�j�`�'•,4.;-i i_L., .�.,� i
<br /> {'�.{
<br /> `�° - ��,j , -:l-.—'i i ;= —j� �.—{3f_7 i :�
<br /> DESCRIPTION:
<br /> Ti=�Fwi�: €��:•;:ii:�;�:�
<br /> �. i1�i��''�r,�. x_�1 L �FiE�lt��. ��_}'_.�! �,��t j(i�`.%-�w �_5?=i�� !'E;:;��:.N j,i_i;ft.j {�ial_Ls i���
<br /> REMARKS:
<br /> FEE SUMMARY:
<br /> Sy;f,l� f;�j_ ��i,� �7 � , L�
<br /> <<:�,��=� �=.�� �_��, . t-at'•
<br /> _�t.Ii'r�';=?:`s�� _______ $ ,—i'_il
<br /> 3:��t.;�1 �-��� �'+�,��..y�r,
<br /> CONTRACTOR: _ ��,�,; �,_.i;��, _ OWNER:
<br /> �si=F";f�' _ � �-ily:�:, !i�1�_ .�L�_:!_.��'S 1 'i.�. :_�i-li-�(,1==.�i:_�{:i% �`'s„1 x c='�'°,lj:;'i=
<br /> , �_j . .�����n. .,...__ `.� . _ _ ��4"tt,+�i_i(-l�� .`+'1 � }`'3
<br /> . i:C ' �� I4t'j-y:i\;;1 ;�i': %= -"a�
<br /> �is�i:-�F,j f'+�'•W:l)':_,w.F_ i'r�h,� _ .it;;',L _h`.�_ ._ . .. . - - - -
<br /> t ;-=i '!`? _ y _.��_' i'_'��
<br /> _.. ._. .. ._ _ . ..... -- �-•--- - . . _ - _ . _.. . ., . . _
<br /> . ._.._.
<br /> . �r. ;..z:���; �4-i�",--�:��' �i`�[.3.:F•`.-.i �- �-`1-;-i`;'= - kI`3 �t: {�'�!i'-'.�:!- !`ii-. . .�f:� �f";i-`:-i`i ;..'�,` �'.i 3
<br /> �4^l� `•_�['.�!•`�.F�.,:.T t,�:��__. r .._. _. . __, -- - ' �`•_ - _ '-- - - -
<br /> _...,._ -.:- , _,.-.�---:= - - • _ _.
<br /> __ ... {"�; 1 i -.,
<br /> �(; " '' � E�:{} i-t!': �S` ^'t��S ._..� ,tr�'t_;<'`-.i�.. i i�' =�'I`{j,r_ t.`• k f�" � -� +� � }t } L- �} _. i ! ` �_4=_.
<br /> :-�i-'_. .1i 1=.#j H.- �s. .__i== -.• '" _. _ . . . _
<br /> � l�tF•,'�_it`J_' r =)� i—t L:_';',`= F���,i'� =;{��.���';'. !_.il"'� �'':��1ti;vt�`._:3_! i i=j `_-`;_'=%._�'i�°.4i� i:tvF��„- £+:=.:�s:f=�:;.r'ft�.t`,3 ; � _ �
<br /> i� ��. .�'.
<br /> APPLICANT�PERMITEE SIGNATURE ISSUED BY:SIGNATURE
<br />
|