|
� �
<br /> PEI�MIT
<br /> ��� OF ORONO PERMIT TYPE: _
<br /> �0 Kelle Parkwa • P.O. Box 815 '�'��"'�_�'���-:�;�--
<br /> y y Permit Number: '`�
<br /> Orono, Minnesota 55356-0815 `';_'`="=";_'
<br /> (612) 473-7357 Date Issued: j�s .;j _;E�,�::;
<br /> SITE ADDRESS:
<br /> f���=,�_� ����' 1=�I;�:,� �;�,�
<br /> ���
<br /> ±�'� t . ��' . . }�_:—_ �� _..;—;.:�: :_;_��: _
<br /> DESCRIPTION:
<br /> �; �L�� � � �;, : ;-�; � •�
<br /> '= C _ ��J:�—`�:: _ v_
<br /> L'�f� �� �;'cu�"�
<br /> i�ii�ni��•� v��.itt,.��
<br /> 1J1J�.!{.�1lVVV �
<br /> V 1 tA!T� �r•e V V!
<br /> 1tLiL.�VVVVV 1T
<br /> ] '....
<br /> � V1 17LtT •JY
<br /> L11LL�� �L ..'J��JV
<br /> t:L'i'�i i�i...3i.ihelA•' Yili i
<br /> 11LI.�L11 f 111FNT11 7VV
<br /> fi�:i!Li �I} I�i!!!? !I Y t�.�s�
<br /> REMARKS: •►�L��u:.• 4VV1 zsv� ����•L,�
<br /> F:t:'f'!lLfd
<br /> 11JJ 1 i:I iJ
<br /> FEE SUMMARY:
<br /> �U�;;,._tJh�� E.;��r,i ��: :7t:
<br /> ,;.��;�, r�=— ��°� :_}�_�
<br />, _
<br /> i'•. . � .. _� �t F .
<br /> _•!�#! . i`.+�f '_r � ".__`_'�
<br /> �?��i_. _J;� ?-+_1 � �i �-i 7
<br />�
<br /> CONTRACTOR: -�- ,���r�z i{�:�t. — OWNER:
<br /> _ _. ... ._ . ..
<br /> _
<br /> ... . . Lv�i. L:' ::•.;. .. ..'._. . . _ - 1 j,..
<br /> �...:.... ���_.. . .._. . . l (`Jt= _:? �:!_.f_I� E {`yt3 _:`�._ _:�.`-1[_is, "��`:•..L_�'""� E 1::`�:,�:
<br /> ri_i. �':i�t; f-il.��' :�! j'y��_1 i-�_4,t �l���ia'._ I'�.��
<br /> l f�`�: T�., _ �..�:.• _,�;�t_j t�_: r,,t:,� C;c_:.`-.F,
<br /> t3_. . . ._. :��:J ���p:�::".;; �_? i t�'•.�. .. _. _ _. _.
<br /> . .= y__. '-} -'`�'-` - - --
<br /> _�. .. . ..�•r�r• ::�> -�r__��t; ��`r-r• - r. - . , _�r�_,�
<br /> . : �" -_� .� �..: .._,,..:-�.'��:I�' {-;�:�:,�`' i'�i'`:!.`'•l=�,:- 'F-r;�*;T'. - ;•� �; � ': �1-i!��� �':r ����ia F",f_,.'!-�'J_�,I'v, I :
<br /> "�_... !f r:� �,.�i- _... .. .: . �.�" � . ._ .- '. . _. . . . _. _. _ _.. . _. .`�i-;?�'.__ _ ,r t`-:� . . . _. _
<br /> ���r _j:y r i�:,x-..;_j_'»; ��i��; #^ei i t-?' � 1.�.:.vl;!�t:; •S; �.'rT.•I ?;_tS':!-- � (�!`���,.;- } I i �' ! : r�.! , �i'—
<br /> ... ...._ _.�=�?_ r'''`���I : _ ._ . _ � L._._ .. _ . �.[ �=il��;� _ _ ..�'�..__.#. __ .� � :�i__- - I �t -
<br /> �e.E„=. _,i„�� _- r __ _ 'ra�T t.•;.:�,;._ - - �i i t•�;"s�.lr= �'.'i..�? 3 T C -_::F. � :_
<br /> ;_E�4i_s�'.!i_I f_.;�'':t_'1„,�;�r;�+�,i_;_,._. .'-;i`:[: �:i �-; I�l�.. S_.��" . . :.:tl;�,tt,:,��_.� ? t=�i �:';:��.n �_•y=v,_� _.i_f�_%�_. . ._ , _s`'t'.�"�i_:� ' _` . �
<br /> L i.
<br /> f / � .,'
<br /> APPLICANT/PERMITEE SIGN URE ISSUED BY:SIGNATURE
<br />
|