|
�'ERMIT
<br /> ���� OF ORONO PERMIT TYPE: � � :
<br /> �.t 1,.L�I iJG
<br /> �335 Brown Rd. South • P.O. Box 66 Permit Number: �?��:;�_;:_�
<br /> Crystal Bay, Minnesota 55323 Date Issued: t����f�.i_=�1
<br /> (612) 473-7357
<br /> SITE ADDRESS:
<br /> :ti�:::t� l..Itlii�4�'=.T�ittJ A'JE
<br /> _T�;
<br /> F'. I .1`�!. , 17—i 1�—�?:F:—�,.:�:—t�Cy�.1
<br /> DESCRIPTION:
<br /> r, �-- ,L,G �.t..-.-
<br /> _'r`�r�—I`i�r! �,__—n._�+_E�—
<br /> E;uii��ii��� F'N3�rait. T{��f= °�:;--;�G�i��;�I°iE►DEL
<br /> z. r:r-r. i n r• f r
<br /> E��.�i 1�.1iii��t G1���i'r�. �'y'F�� r,r_i�li_i�,1r�Tc! �i��`I�;sL�EL
<br /> C�'�'Y L'F u����'u
<br /> ���rv�;�c� �=�r��
<br /> �s�������� �
<br /> �'��� � ��� �y° a�� � �� �t� �t'�5t 7'� t�
<br /> '� � + {�,,, µ L!i i i•
<br /> � . 'r ,� "�da t i��,s �,i w4.' �t�r;•*'�r�r�`'i�'► jj
<br /> �r4"+ r a���2 ��iM� Fc� � h � "�- 1:..L.L.iSfififi/J �►
<br /> � ar�, � �,e �� d� ��yM� zip�� t ���� -Yi V�� G�i.�
<br /> �"� ,� a d���'i� ( , �' i° �� � r� ��
<br /> .. T �.� � �`a' k ����, L+t�Ltr�• ^; I L 1�aLJ
<br /> �F r�� � i �:°� �
<br /> ,t µ +r te r � a i+L'("•C'!!': �.3't"1 ti Y
<br /> ` �y M � � � ��� � r_ �. ,cL4L1/ f ,�i�'i. ,��
<br /> < ` '� � _< �� ' r� ' ` ' jjrf?;i i ' t�r '�i i�f��1 'TiJ�•i
<br /> �;- �'� a".. . 1'/f.tli�� L�i l3il.L !1"r•1�
<br /> � � <� �� �,�� � ,�o:��1%�j
<br /> , ,.u;, ,
<br /> �
<br /> � a�� "�'
<br /> ���� ��� ` �� � � '���
<br /> ; y y9 �,,y µ t ��- ,f. .:
<br /> � p�Yni t. � ��� r p r��^"�'�7 1� "�M�..i: k.4•a,i� _ 4M,��.
<br /> REMARKS:
<br /> FEE SUMMARY:
<br /> 'v'r�L{?A7I's�=�.i ��3. ,�i;:;
<br /> �a�� Fc� �T� ,ta��
<br /> :_:l.f r-C I'�►c's i'�j C ' �i
<br /> �_._�_._... _�+4.z.3:'s.
<br /> ����t•cl� ��C �?�. t�
<br /> CON��RACT�R: �- ��='�'� i�=d���� -- OWNER:
<br /> LLET i ����1Pu:=:��=il1�:T I f=�hJ 1•�.7:�::'�:_::;:;� EE:c�i i �iEP�iE'•i I E`•JE
<br /> '.�`��.�� L��+:=�i Lr��::� �;�1 :;�-�{y �I t�I Iv%:=:T��th1 F+�'E
<br /> "`' r�''� Wi i�`�r^rtl�rrt ��l� 55_�'�i
<br /> �i fi�l�L.3 t!�� ri.�..�.I_�'..� +�
<br /> ��*����'.t �-f'�`—�===��� �.i 1—;=�;r,�.
<br /> -�-3 �r• } r-��r.:—•t —r.+r r t --.�_ r..,. ,.., . _� ;_ —� r�.,F f" '�T ' E e '" h,q r..::'_ ! s-- — _. r��•.r.�:t •r-r_a E.;�:_.
<br /> r;-iC: t���t1�.t?:�lt_44C.L� t�'eL".F"tL_r-�4 i":�_t3�`..�L,._'. i �_ Pr"�G�lI'ie .� _ ��_'sEy ji_i !•i!—€f•-.C. !!�ii_ F?[Y=F'L_ .f.l'ef-,r1i_.�,{S=i'!�:.ly3._
<br /> ���i::_�•1�"L L4� �-1�•i�l t-f::7;;C_t.=•`_+ �j 3 L,�t� ;ii_4» t;�_�.'.�'�•. .t�i ! �i'',i{_• •� t�_��3��#��.�-'i���_-4_ ':4�i�'� Fit.._I_ ;i i�{ � iE- A
<br /> .7�e��k'i' "'t•'��T r.l:i-.i�3_-i• �s� .i.� F' r !.r'T ;. �f_'.^.:.._�-: _.., _. .... _'�'_:F
<br /> 7 T 3"'�t"F},i.'P.i_ '
<br /> I > i i t � i E i i`� , i t ''"' '� -
<br /> _.t"!_f�_ _F,L. _I�Sf—(I'�,C:_� t—ai��: .�. � �� ��_ !_i{.. ��i iti3yC._�t_f :t1 C.c t i�,_i i i 3'4t7 4.•�_��1�". il��sl�3.(?i=!IE'_3y �:�,,
<br /> r.,�
<br /> ��/,�j
<br /> <����J
<br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
<br />
|