|
PEI�MIT
<br /> CIT`�OF ORONO PERMIT TYPE:
<br /> :Q50 Kelley Parkway • P.O. Box 815 Permit Number: ""�-�.'!�lr��#�`��
<br /> Orono, Minnesota 55356-0815 ';;"`:_�_,•='
<br /> (612) 473-7357 Date Issued: " " � -
<br /> �:if ;:i�.":: .
<br /> SITE ADDRESS:
<br /> i.�_ °_;iT�.��� r-i���_
<br /> . . i T:� . . f 3.�—..'t i"'"—a..._. :.. i _"f�jf_a j. .
<br /> DESCRIPTION:
<br /> . _._":��.:�;';:_�.
<br /> ��i�:rr�i,{i�f•� �'�,;,r;;�t.' 'i y��.� t,�r-i"l��::�; C•1�Tt:F;
<br /> �'l c.?r:}�+i �i�Y:,� �{}+��1'E�: �1-y�'��tj (*�':�;T i t���{;:�
<br /> - ��!t�?i�R i:E_:�'=;�T �. L€�:Vii7���a;�}' �. ��,�'�';-�T?_i#�;
<br /> i CJ�i�'F; �-�E_i�-f�E�.�
<br /> rrl l 1 V� L�V1�1J
<br /> 11�F7*��L V�1�1 4L
<br /> i Ji JJVVV�VV n
<br /> r
<br /> Yj ui�+ u�.,,v
<br /> �'%�%:5�+�':rx�1r1 �
<br /> ttcr:v v *r
<br /> REMARKS: vj ��� ����
<br /> r`ut��' :i 7i i�
<br /> �•i�� n i�. j, JV�1
<br /> f�L•4L1l�1 !�f'71t1-i• �VU}
<br /> s�:'�h'�i��1 �'�!i!� Tli�� �'�L°'i4�
<br /> ncr-ria vl 1�1r I1V•t
<br /> FEE SUMMARY: 'jf'�'�f r'
<br /> . .�i._�._:;'�`E S 1 f_ilu � _ _;:}f j
<br /> �i��-_ E ti=F '�i� , l.l�_}
<br /> :1�i2'[}M!c`�.l"��ic�w �------- �'_- �C•
<br /> ?t_s�.�� i�-�� 'J5 .F;.i�,!ti
<br /> CONTRACTOR: - -�_�,:—:��:' � :- -;�--�-. -� OWNER:
<br /> r. :: .. .. _
<br /> . _ ._ . ._.f;;.
<br /> !:' •: I �._ i'3 F"�•�' j�i ' !i� L3i'ii"'�-.:"?"",
<br /> _ x. _ e. : '', t_�.`_!; �.. .�. __ . . . ... _. _ .._ ,_.("t i'.t=",*, �i{`S�.i��
<br /> .^ •,.� _. . . - -. ,__:.. ..-: '�is���:: ��,:�� �i:�`t� ;;�.f:"':.� t.,t�;= .
<br /> .. 4 t
<br /> �.�,,,lf,�.�.�����'t!,} iiit ' _. _. , .' {iiF��i._f-i [r. .'IiV _i..�5.�.��� .
<br /> __., . . . . ._. ; ....i ' `
<br /> 2 ". .�_J:�_. .�� .� . �..� �' i'."�':i....�. - 3'`,sf�a_ _ I '_. . .._�'..�._ _ � i ' � � _ ..�r� M,r s-� t ��,^fC:t�� r_2,��;�.�_..
<br /> • t � . . , ',` —�� `�`
<br /> :.,,.. . - ,-. . . ....._._ _ . .. . , .._ .... . . .. . :. _ _�
<br /> `�" .C�"- ..��� f 34 t ;.s� ' . {.,'?� G"i�_` 3s'.°�..'h.f'. . . _ . _.i_ E .j_. .. .._s.'I�i.. __ I��TiF %'rE_ _ i_ _ ���."
<br /> ,r _ _; ; _ ;.. . .
<br /> _ir- i� : : �3� ��l� �� l:::�:, r�f'� S _.� �,r . .. ` ;�^ �'�) . .. .; ; Y. � �{� ,.J � c F r -t �r:" '1�'.t'.i �
<br /> . .. . ._ ... .,.. .. ._.+._ ' � .
<br /> _. . . _ ... . .:� t�.~ �` ,��'
<br /> � � � � _ ...� _._.... .__ . . . �
<br /> � �li'"�,�i,'�- �C �- � . �
<br /> �
<br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
<br />
|