� ��
<br /> PERMIT
<br /> CITX O��RONO PERMIT TYPE:
<br /> 2750 Kelley P�arkway- P.O. Box 66 ``;}`=_�;�`";=
<br /> Crystal Bay, Minnesota 55323 Permit Number: �;;t_;;_�;:;-;
<br /> (612)473-7357 Date Issued: � �;;��_:f ,��-;_;
<br /> SITE ADDRESS:
<br /> � _ =�=:1 �._�'_`;'°���C�� �`E�i
<br /> 4 s�
<br /> . _. . �.'! . . ._)L�� � J�.�'�.'j_--(1i„i3 _}
<br /> DESCRIPTION:
<br /> h���t: f i,!_€Ty
<br /> Li_�7 : F�1 tl'j !'+_.,y'i'?1 j � I a�}:,r,, •�;�`:_i 3t1'!1'.'�i i��°ii_1i;'•`�
<br /> t-�S 3 7 =�_.1 1;":�1 �.+:�_�j`t:; i `.�::r� i.:t I 1�J� { ��_��`J
<br /> '_'•���� �_%_���ii-`.:tt'i=,f ('t'".`�
<br /> _c�s y:M.S..'7!�� t.1 �_i}� I ',••'�'}=:+ �!�'�1
<br /> i.��t"t l ll�� �_iz°"1 i�
<br /> :�:���'�•,t�; s:;,:t��-� : _ . i;�_f . �:`:_:T�;€=;:# � T�':.;
<br /> REMARKS: '{
<br /> ��:1'_`��'j�'l.i"7!__._ i�S—5-�,'��{}..I.t_� ,-�°•.f��.��i���j�'t� �-{�S�"i, i'�3 `i%-.i . f !{�%:S'�; :'�'�1�r' t i�.}�.`iS__f-�36,:1�,
<br /> FEE SUMMARY:
<br /> i,i;�;:_i:F;i,T�i��`.t:� -�;t�i,:l, iit_ii_i
<br /> t,i.��Y `�:� �.L , ' _ . . i.'_t
<br /> I-` 1 `,S'i !;`r�.�: F.�i},+ �� ____. . t
<br /> .�I_e(i'f., i•_t�'�-}-� ...._.._._.M ;yyi i{..I t[(_I
<br /> � F�?�.{?;!. �'r?i= '�•,'. ,�jye._ , �"'�{'.
<br /> CONTRACTOR: - ��,��;��= ?�r���1�. - OWNER:
<br /> - ��; ; - -��:���:����=; :�i�_'=:�;:� �::�:�,1ij:�
<br /> .;�i.._�';�`�` i_i,is s��i. ,_ _:! _�_il`a .L�_�i�.� __ _
<br /> ; �? :�;-7 e;l�: �°'i ���, i,,j G;i �°�-:-;f i _..-��;`:��i(„l� �;i i
<br /> �_!.._�.;-;f�°��:�?�i r;�,` j`a€`u � _ _..�._ i�i=°'•^i�.i_s 4°���1 .��'=��:��=
<br /> `. .�,1 �, , =;:`Ew �..':�:`:_; ::it�i�i—: . .. _
<br /> ,._ _.__,_ ,_,:_.:., ,:___ ,..�.
<br /> -�..��..: •-�-- - - - -
<br /> �i-S'= !_'•i;._c ."t����t-ai+i�_._s � _•�•,•'—�7' I`f•! .—� t`�?�i i��1�.�_�"�_ _ . ? }..� 1'°ai..��.,._ � � ._. ?'•.�=%-�`.._ _�`�`�`:'iS_� -i'�': ' _
<br /> ' _ n' F - � i�tf'ui j "�i"='•._._ � : :f� � v-__ . iv.�:�:�L� �S°v �� f �. �.���i i�'' .'.ti..,�y S.a.f� I..O"' F'iL.._._ � �+' . .i6..
<br /> s��i..�r.y i�.�. p ..:i'ii . . _
<br /> _ �. .
<br /> �L. ,`>-,. '^ i :`-:� . .. _..+.!'•. _ _„ s-icut..�!, :e
<br /> I !.i`, _. .�S` _��''•.%1 l t4;�l�1•,'• _� .-��tt\ii' �� � , . # �". _� h�: i r.. .Fj`.��E_# i `-, _.`�_;1�_E_1 �1+'.s _ .;..�._ . ...._�.�;'_.."':`.� . ��,{ {..�� .
<br /> L.� J
<br /> r / n ' '" �
<br /> �
<br /> APPLICANT/PERMITE IGNATURE `�`���% (/ ISSUE SIGNATURE �
<br />
|