|
l��lr����
<br /> CITY OF ORONO PERMIT TYPE: _ _. _ _ _.
<br /> 27�� Kelley Parkway- P.O. Box 66 Permit Number: .A�`'''- .``�" ��:`�``'
<br /> ,;Crystal Bay, Minnesota 55323 �-`� '�=��-'`-�
<br /> (612) 473-7357 Date Issued: +
<br /> SITE ADDRESS:
<br /> _.�`'�`_s ,�{;�;�:�;-{ �_:;-if�i�;°� �<<=i
<br /> �_}
<br /> ;-' i !': : i , --:�.1 —l1t't; ii
<br /> DESCRIPTION:
<br /> l�-;�;�'� ; :�;—€:
<br /> i !�w� f .�.�+}t'7 ;e�l�_�(�e'i:_i l_.: �} ?.(1{^i t i� 7 � ..
<br /> . !�3 _ , ��{_•:L� ��1� _
<br /> F'�_:��._ t�s�:;t t���;:-�L, . i�f:::'_: f=iE--ii-::� �:r;�=+�I%�`
<br /> !�i i� +1=f.� _ w��'-'3 1�'':'`-+;_'f,� � _ii�{�-'�.:i ��. .;_ts_'c;�!
<br /> �t:i!-'_1� _, - . i!t f:_1
<br /> L ��s�; _!_11i�1 3�;�I EI`+�4�d��+ �"!iti�:,� _.i-��"+.;'?�`�"1. �[!l!���_ .����ly�:,{_.l_1_;t,
<br /> -�.�`��,v,�. 4, �_i
<br /> REMARKS:
<br /> FEE SUMMARY:
<br /> y°�'-1�t{t;T��_f�`� �i�, ,�,::ii:i
<br /> �,�,�;�.� ��:F: �:=;� - �:��1€_ ,��',{ '� �;i�
<br /> _�a1lT'=�'i•�tt'���' .�.__...._._.._ �x.z•�.a `}3 f�.�1 =�= ___._..___ _,t:�?!;_i
<br /> _iI�I_!�.F�F T.^i . W'�- . ef^1
<br /> �
<br /> CONTRACTOR: — ���:c��:� i�_�.�:;T. — OWNER:
<br /> m.f�``.�� t'�;�;j _. ai_ _�.�::�,•_'j 1 l��iW� �:���-?�!`i�. 't �'��°�:_,€„. 1 i; i �_
<br /> ..y.���....' ` ! �:..i��{.,�5���"� i.{4°� . . ___-•i_: Sv:w�T'i:+,�"� •����,,,�4�1%'„ �,���
<br /> {,�eil._!'_6`� °Jf-��_!_�Y �'�I:� =C�.��.' f_I�;E_Ij y[t ,��:�j ��'_;`�;
<br /> : -., �.•. - - ; � - - - - - -
<br /> � � : , =� :_.. : :..=- - .:t`,
<br /> .� : . . . , : ,: � � : �:..:..
<br /> ...;.. .
<br /> :,
<br /> �E� ._. _+_'.;__:._. _ s.:�;����i f-{E��E�Y ��:�_:+� �� '= .-`��'_`.f. .. .: s _i};j s'` i'i:;:?:.� j"i"'t� `iiwi-i�._. !('j;='�-.'i�Fta"__"�>`�`. . .
<br /> , , , � . . .
<br /> .. _ ._. .. .__.,. _ _. _;,
<br /> �`.��"'�..��;� a�� H�4L.� �s?�i�i=,'.�� �%I �:t„t . .i_L. �:!�i il-;";. ?�` �=��4�t_:� [:t:i'fl-; 1 r=�i°,i.:__ ;,�t t �`;.� . .'..�.. (:�_3... _
<br /> -., —.�-.:� ,.:ni ;• _ �i'' "_ ;7� i �4',`i� 3
<br /> - •-�
<br /> ;-.
<br /> •._+' _ .•..f 1�}�'`.3�'•�!�';��1�:____ .?4`�='.!..t ..+ ! `. ._ ._, �?:€ .._s. .. . . . _. - ---:._��. .._ _ ._..._ ._'.t s_t . ..._:,,{ _ J
<br /> � -.
<br /> �� �1 r
<br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
<br />
|