�ERMIT
<br /> ��Y OF ORONO PERMIT TYPE:
<br /> �- 50 Kelley Parkway- P.O. Box 66
<br /> Crystal Bay, Minnesota 55323 Permit Number.
<br /> (612)473-7357 Date Issued: , _
<br /> SITE ADDRESS:
<br /> DESCRIPTION:
<br /> _ _
<br /> _ . ... ._ . .._ _ �t=';=,::s �,::";;t�3.:�' ,,,f°= . __. .
<br /> , � {,S.3 i:��,E:,:�{`. }�F-.1'�:},., r __ i.`.��" i _:L".F.a t:i..-.
<br /> _ !,3$f..a � F.�� _i."' ''..� ' ..... .._i"7�i�i � ...-::R,�j. M'�l �`� ;�� j i��
<br /> ��i:
<br /> L� 1'V:TL'
<br /> � 1 _.. . �L•:�
<br /> �.���� .. ..
<br /> '_`i' i`y::.:��v�v
<br /> i�---.`�: t '
<br /> '_ ' -tt
<br /> jY�.. .._:�Y ._..il
<br /> •�Y�.�.'.'... . �
<br /> ...:..1�'. ..
<br /> REMARKS: - � '
<br /> FEE SUMMARY:
<br /> :: .�._, . . j. s.. . . . .. _ ..
<br /> L':�:':_r�' . .--- . _._. . _'_i ('*;!-�_! '��•;; '`;1 t=,�"�
<br /> . �'� _:_ _ _ t_. , _ • ' _ _ __—._.___._...___ 4 t=
<br /> :-• , ...,-....; .;�• :
<br /> � :. "'a 7
<br /> . �._ : � s t_:: •.:. .,. . . � a_ :•a `
<br /> __ _ ry.._ __.---------- _ ' � . ....._ • - - - - -
<br /> �,t.��_'�.:_ _ _..�. _ _. . _ _
<br /> CONTRACTOR: - . = . � .�-�:- - OWNER:
<br /> _ ._. . .. _ _, _
<br /> ;_ .. . .. _ . _ : -..
<br /> .�. t. : : ,.
<br /> T. : _. :. -._ _... .:..�:`� . .. . - - -:-. _ ".
<br /> _._;: _...-� .- r.-� - - - - - -
<br /> �. _ . _... ° _. . . � . _ _ _ -._ -.r � : .,
<br /> '7it.'�, Y;t ' ' � . : - ;i `t. ,� ��
<br /> i . :._ . � :,_.._i .. :` = .. . ,. .� w ... _ . ._ . .. � ..._ . _. .._. ... . . , _ �,.. _
<br /> ..._ ' � • ' ,' f�` '
<br /> ,,. .��
<br /> . _ ._. , _._. , r.. , ,.
<br /> ..._._� ._ . _ _ . .__�_ . ...+ . _...� . . � r . , ...� .. � : :. , ��;:. � : . _ . . . .
<br /> `.-.:�`:�._,. :.`" � � � .� ;t - _ . . . . _ .. S. . ,: s � . ._„._ _. _ . . �^�r_
<br /> �, _ .. .
<br /> : . : ; t' . , ; ;;: sr .
<br /> ...: _ . ,. r._. .L,... � . _� __ _..r.... ;_ i"':� _ _ € .. _ _ . . C.
<br /> �"'� _ ';„1 �. Y _ �_' . , `? i 3 ;�' i-
<br /> '`
<br /> .
<br /> . • ; �
<br /> : ;
<br /> .. . _.._, . ;
<br /> L .. . . : _ _. _ . .w _. , . __ _: : . .. . :__ _ . . _ � _'_ _.. . - - _._ ... , _., . _. .._� . t _ . �
<br /> ���
<br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
<br />
|