|
� _
<br /> �'ERMIT
<br /> �,�I�'�� OF ORONO PERMIT TYPE: _ . _ : . . .
<br /> 2750 Kelley Parkway • P.O. Box 815 Permit Number: _-;.i;t';�ur'
<br /> Orono, Minnesota 55356-0815 `-"-"_��=�` _
<br /> (612) 473-7357 Date Issued: _ _:,;_;;�
<br /> SITE ADDRESS:
<br /> ._ _.�{= t_. .'��_�+ i•�!�".
<br /> F1'r
<br /> �*f�i_ '_ ' ;�: '
<br /> DESCRIPTION:
<br /> • , : - }�
<br /> _.
<br /> `;�..r?. . .`�t�
<br /> � � ...' ':".�": 1_esS�Cfi -.�-� �F31f �� F
<br /> ; �i��� '. _..i I i._ . .... . �.' � �;-��= _ —��..:.�: I'�[__� :�_L���..�
<br /> , i:�: 7, : i i 1 k"�y:k �_ii'; "�"t: ` :�' �� n� ;f"s�
<br /> :.._a _ _ . �! . _�i . i '. `E` �`•. ".'". _. _.
<br /> 1�2 tYl• L�1� L'l�1fL!!�t'fV
<br /> ' Ti::'A?!�'i '}iL+f'�
<br /> 7.t!Tf'71CL•L Uf ! l.L•L
<br /> 3ti.'1J��1.'�.'JVL
<br /> ' ' . t
<br /> tf.1 VLI� L��.'�NV
<br /> 1 r_iii.tllV V V V
<br /> CC
<br /> \�1. L L tt .t a�.7+J
<br /> i�11 i.�1 VV L%V��
<br /> V.l VLltt ilJ�V1V
<br /> .. y �.w =L
<br /> L:��4� 1L 1.i1�aJi'
<br /> "Le'Ctfl _'L'ItA!A' l�!!::
<br /> tLLL•L17 f 1!!l!lff� !L'�=
<br /> TJLit.1L'L% I.rL�L'1 1���V1 �11��
<br /> _ -_- V`,�L��.
<br /> REMARKS:
<br /> FEE SUMMARY: �
<br /> 'v''';�.;.�=:�(i i�i;� �^'_ �i::�::
<br /> - �,
<br /> _=t�..-s �=�_ '.A i�::' , �_;i:i
<br /> _.6__ G.l F��i
<br /> , �i_ji` y :;:;�'':1:_e •:1 . _ ...
<br /> 1�?'T} .�".+T � �«.i i"i F_+�� ��..�..�.�..� '_ i I�i
<br /> , T�-•+ =;� i��_,:, r'�i-::; --:;i
<br /> CONTRAGTOR - � - : -_ = !-��= OVIfNER;
<br /> , .-: -� ( ,�rs + .-;i :� _ _°�.�' ' 3:��i.-�„ �i 3i_�'•�_�'!
<br /> ._ ...__. ... ..._ . ......._ 1�i•..s _ '_ ' _ _ ' " _ .. .. . �r- .
<br /> _::_;:-:;-, =:i_i�;'�..�;�,l���; �`i_ �;;,`--. t'_,::!`:;i�:��• i;T=;
<br /> - -"��! �'*1i�.I i?-i � �- ;_F�;:'��;.�;Ai ;.�i*E ;=C':�.�:
<br /> _ : . ;-i•_�,_ _ _ . _. _ ._ _ ._ ;.
<br /> � _�.t ;,. .._.._. � :r�:- - - •�• -
<br /> _ .. ..., � .�. •� {..e:.i�-I; :..;r-F - - - -��.':'t - !; i �'ij�-it;.� -- - r t Y = ! `.
<br /> ; :,;_.
<br /> : . , � . ;�:;s
<br /> . ; , .
<br /> � ; F-::
<br /> ..� :.,� . � _ �;
<br /> : ;;.,:
<br /> ...,. �_.. ._.__ ... ._.: ;...._ _,� ,_. . _� ,:•s , . ' . .
<br /> . . _. .. � . _ . _ . _ . . . .__ . . ._._ i"ti.. ._. .... ._ . ._. . . _.
<br /> :=3". ��Li"1 _:i= _ ..3__# t_,...} - j i -- - 'fy'�i i�;#�{i"�'i=i T:`:�.;�' i.i.: � 1 �; ! i_,.�.., -
<br /> .... .. .� .. _ _ . .
<br /> ��.�: __.__.. .:_._w; t ,. .i..: :. ." '_---_` . _ m_ : '"!=_`.._ .. _., .. . _�.''�i _ . , ._ » . ._ _: ' ___.. .. ._ .._ .: _ i t`'"i . .,._.... . , . . �.:
<br /> ;;� {� '. ; � +`' ; � ,.. , ..�. i i :7� .��: �� � "•-i i i r �"� 1 i}- r ;:3.�i 1-'�.'t,��.1`,i�i '-
<br /> , : �.,;:
<br /> . � . _, ,«: ,._.._
<br /> . ., . :. . ... .. . :. ._.. -.= :m; _. . . . . _ . _. . _. - ' -.......... � _ _._.._. __ , _ ._.. .__ . _. .
<br /> � J
<br /> � < l �� c
<br /> APPLICANT/PERMITEE StGNATURE ISSUED BY:SIGNATURE
<br />
|