|
� = PERMIT
<br /> CITY OF OROIVO PERMIT TYPE:
<br /> 2750 Kelley Parkway- P.O. Box 66 �s;r�_������'�;ff•t;
<br /> Crystal Bay, Minnesota 55323 Permit Number: ,V , :,:_iri�'
<br /> (612) 249-4600 Date Issued: ��''
<br /> f i.. _`��'F:"�`=�
<br /> SITE ADDRESS:
<br /> .z..�_ _ k�;��I f'•.i+sw{9wiE�R Ea.s��'3
<br /> #"EE*��:
<br /> �-' f , 1;{, ` (t:�—� �, f—•i_�..... ....d9d�21_1�,.
<br /> DESCRIPTION:
<br /> � � t—
<br /> .�4lc:e . . . _. ::��� .
<br /> !. G����:T 4=��tF�'t�:: ���#+��_�' 1�•��a��::�: �:+i l:�;�-,.�;��•is�����
<br /> tv i 3 i I 6� �-i� �--.__� _,_i_�_.
<br /> .! *'�.�. �_ri�_ ��`� �.F-�I'�.�. r d_11,, 9�,.�.�_$,., �{ vi-'
<br /> I
<br />�
<br /> I
<br /> REMARKS:
<br />�
<br /> I FEE SUMMARY:
<br /> I ��''�i_�s:;i �l�#i+� '�:_'��_vi_3
<br />, _..,i�t,' �HF? :G•.,�s� , {.J:_ !��s'� �F�� ���. ._.�_...�.r.�._. ��.i'si6mg
<br /> `_r I14�'�_4-t.�1'��;_ � �t! � s��.-,� _+ ��.-'+ ,c r s!
<br /> . - - �,�,- ,
<br /> 7 �___e...._ _sas »e... _
<br />` �rR.}�i�.E�l�.._7..!, :,�..e.�, ie„!.
<br /> CONTRACTOR: _ �;�,�,� ; ;;,_,�. _ OWNER:
<br /> i,=��y3! �f i�� ;3 1_f_S _i`��,�:'�i�.f a'-_�� {-'6_�4....":.s�� �
<br /> =e-��i's i�'s�;�:�i�'�i°1 %��%� e_, ��-4e e� �1F�4 tJ��ii��i�� i�1�'��
<br /> _=`i_ _ s�o�e _
<br /> :_�� ��t't.€'`_; i`�-t`E`��. f`°�1';� C G i?.'�9=� t 1�'{ 9{'V{W9 !'e�°; ;."_�;.�t"`�
<br /> f.`�.���.a _.�'e=s'—r 1��r`
<br /> r -- • r^r-:n: s^.� .», ... _- - -�^ .r•, p r zr- - �--,_,
<br /> 8�-3u- t_ii St#�F;;`.�< i ��.^r�;;�:i $'"�L'.%'•.C:�+� #�.�.€a<$�^jC.�.s�z ��.'f i�a_ 3 _ . , i"'t'� 4'�.�5`a� .�.€��°'j� ' X: .�'"�� ..
<br /> „s g^ i .�t dl,a',i 9 ''�: , �. � }"'`<�.1 •t:�'`:.,.,, E
<br /> _ _:3�=; j� }ut� � { "�d..��M• t 9 t' } � f_i�`;� ;`� °:>�+�v��. c_:I a,.=� } _:� ; f- �.;'{'`�`'��3 ,f�, y } b�� �,;:
<br /> 4'S a_�..5:.. . ..�P�' �9 � � i���-..-...•�� �i w �..� £"� i« �it � ... ..i=� � v?i!�4....�.7 ��w ..,. :rt 3. I#"E z��L.. �..^.i 3 6 �... �
<br /> ��ar-�tes�a;i�! t_s�,'�{!`,;: ���_.' ���..3 '��3��'��. �.._�~ ��a :;i�;�n#�s 9" �`i_}:�d.�::��i" #;9�s�°� ��fw,$1I�€��''�F.�€` �
<br /> � ._ ���4 •�.�_< �==; fr �� � �� �,.� �.� � '"'" �
<br /> r �
<br /> G�i���
<br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �
<br />
|