|
PERMIT
<br /> ' CIT'Y OF ORONO PERMIT TYPE:
<br /> - . 2730 i{elley Parkway- P.O. Box 66 -
<br /> Crystal Bay, Minnesota 55323 Permit Number: . ... . . _
<br /> , .:
<br /> Date Issued:
<br /> (612)473-7357 "
<br /> SITE ADDRESS:
<br /> _.__ � . . ., _ �:,i
<br /> DESCRIPTION:
<br /> - - _ _ :r;
<br /> _, , . .; . , ;_ ,:.: :
<br /> :. ,._
<br /> �'., f �...�. ' ' . .. . • � r,.. r. � ;;•.,r,_ „, :•'. .._�_....•.
<br /> _... .... _ _ .. .�.�,. } � . . . . .... . . .. .. .._. .
<br /> REMARKS:
<br /> FEE SUMMARY:
<br /> . .. . . '2'.. . _
<br /> 'L...,. ':i; .�,i';
<br /> _. -.,? . ._ � __... ,'a` .. . _ . . . . __ . ....._..._.......,....... .
<br /> ., , . �.:. _ _ '
<br /> �. , .- , -...- •.:.� , „ _ .'t
<br /> . �
<br /> , , �. ..... . .. . �.:� '... .,.,. . _ ..
<br /> .� � �„ �
<br /> . �,.. ...( _...., .........�.....��.. ' �r . .. ..S { ....._ . .L
<br /> _ ...�_. .. ... .. ._, .. . .,. '{..� . .. ..
<br /> CONTRACTOR: - � �� = OWNER:
<br /> , _ _ ._.. . . _ . . .:,� , ., ...
<br /> .:.: ;,: : � �.. : � --
<br /> . ;
<br /> _ _ _ . . __ _ . ... . _ .,. _ . . � ; . , . ._ f;l
<br /> .._t__..... . . . ....... . . ._`?' `._ . . . _ . _ �, G ..
<br /> �"i-i� �;������"�����u�� ��.���'�`,; :�.�....�i.�_ � � : �- =;; �_�'��t�"� �`� �'���� 'S,� .. ��t.���`�#����"°�°,,
<br /> -{���t':I F"±�:��; ��k�? ��.����`=. �'t�t �#=� �;�..�.,�T�i��'�#:' �'t� �7'�i�c:�` �:,:��i��� E ,�t � �.s�: �,= f , �"�''�� r i�'
<br /> ���,=���t����i _.F��:.�IC�;����.`w ���'�� �_'�'��'� `#.,�;w C����:.!+�;����a �:�.��'�..;�Z�� t<�€��� ��^�;��.�. . .4# r,i� -
<br /> . , ,
<br /> ,.
<br /> . .�. . r , ..�.�
<br /> ,
<br /> � ,
<br /> - .
<br /> ���� ���
<br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
<br />
|