PERMIT
<br /> CIT'�� �°� ORONO
<br /> PERMIT TYPE: __
<br /> 275C arkway- P.O. Box 66 -- .,•:� —
<br /> ; ,:
<br /> Permit Number: :,�`.� ; , ::� �
<br /> �'rys � �innesota 55323
<br /> (612 �;7 Date Issued: , ;.: ;: . :. , �,:.
<br /> SITE AC�SS:
<br /> _._._ .. . _'.E. �� I
<br /> v . _. . . . . . .. _.—� _ f—y' ,a.{." �" "i�_i/�.
<br /> DESCRIPTION:
<br /> _ t,��;'�� �_ ;,;°�� l.;:�=`;�:�:,_:'�' 4-f:L,i._ i�w�:; I�i i�°:;I _. .� :;T::.�= i��::�'=: __i4;�:; . .-i �-T�:'�
<br /> REMARKS:
<br /> FEE SUMMARY:
<br /> �{'��i:t:,� ';�r's
<br /> `�'i-i?_... - _, . '�•'�_ -
<br /> u:._�-�;- i— __ � _ . _ _
<br /> _,137't�;�"�.�{s'��;�:? ._.�_.....�_�_�_..� ._}(�7
<br /> S{_��.._t w L'F;F„ . _. w . _'�f_;
<br /> CONTRACTOR: _ �:::,; ;,_.�,,-��. _ OWNER:
<br /> . _ �-. _���... _:`r:W.;�-;;=i`=� :=..;�===i'�:;_.;�°r. _..._ . .__ - i_:-.i=;:�:�,r
<br /> _ .._ _ �`�i��`:i�{�t�; i s�;` �.___ _ .��_}��: �r;
<br /> -,6?t=tµ- = r'``:` - _-'sl Fv��... , �_� r-;=,i - - �. ..
<br /> — :i'"* — -
<br /> t� _. _ --r�;::r.: . ,�.__ _ � . . _ - i r: -
<br /> ' C .... ' t '- . _i.P,t,_t t-'!-r:.,_t,:`` rzt' ,!._ �_� . _.. .�"._ .. �•l _.F. �3.. .';���.`'. �� ... et��;�� _, . . ._, . w_ __,,t! `�
<br /> `-:''{-:�� 1 ��'- � f��� d J��� ; t', � I .._ _ . ......_ �.t`...�. .. . a� `: _ . ._ _ S ._ _� .""__?i� 2 . .. � . .. ij_
<br /> .� �; �;�.`, :'.� :
<br /> :�i•.
<br /> . „_, • , -. . .•: ,:.,•. � � . . ___ _ .. . . _
<br /> ;w 7 r .`.
<br /> =�� �.: �#� �� �}� -� �.-r- - _ - f — :7=: " i<: � . . ._._ ._ . . . tt-�;t y; {} £.i i i !- f - -
<br /> ; . � -;� , i �-� , _ _. ... . _ .__ .._ _, ._�. ..... . . _ .
<br /> _. ,..___
<br /> � �7,,, F;L.,y.L:�•y a..F
<br /> ` � . � .
<br /> L ` _. _ _ . _ _ . .. . : ., .. . . . . _ �
<br /> � �
<br /> ��..., �� �� �
<br /> r� _ _
<br /> APPLICANT!PERMITEE SIGNATURE ISSUED BY:SIGNATURE
<br />
|