|
� PERMIT
<br />/ ` ChT�( OF OR NO PERMIT TYPE:
<br /> .F::-.
<br /> 2750 Kelley Par. ay- P.O. Box 66 �-�i.:�#�;r��;�v��
<br /> Crystal Bay, Minnesota 55323 Permit Number: _ .. _.
<br /> Date Issued: � t' i�_ � -
<br /> (612) 473-7357 i�;.'� ' _ . _ .-
<br /> SITE ADDRESS:
<br /> �.�_ r ��::�$__`�� . . . �.
<br /> �:�
<br /> . . . . . _ —7 i ` � _ , .—i,li:i:�'
<br /> DESCRIPTION:
<br /> ___. �I=i�{�:�;E�';
<br /> i�!E}(iirli'=.:-� I',=_}'f�:17'. 1 �*�'� .` Lr� i !.:E`.._r
<br /> -�:i�lti`_): f:�_l i:}I:,S t'�:. , _. !i�i�� I i,.�_'.iE....L_
<br /> r?i �.i '•W�.-r¢- � � ..tl�;{�'t�-` ' �i-� 3 t!!"i
<br /> •+� �'. .�`� . _ ___ _ ._ I� _ Lr—i v. . _��.'s' — `'!"1 ` . — —
<br /> _ ._��i_i�..�.!`�t }, f`.' � .... .-.._i'y �r 3 i��i'., 3 !:�1._ ,,,._.F�S„
<br /> � �'�•`_e•.`"�=:§sr;:,���;-t; � ��1�r:_.i_f:y i�.,_: i S`?��_�'_'ri �'�,i`?i i`'��'
<br /> n-{^
<br /> ' _'�ii. . ._.e{`��i � f'iF?��� .�. •i�F�:,���"i%.ii� � iu{i-,l i �_i �F",:'i I���
<br /> REMARKS:
<br /> FEE SUMMARY:
<br /> :,=;i i_�r=� I�1 i��f� . _ . 'W=i_`�.'
<br /> ��- �:i;a
<br /> L�{�..'�*w . .�.... �•'~ ' ' '
<br /> -�:_i i'_�'.���I_i i!�Ii-? .^._.._.�.��.� "�''.' .1�4`':
<br /> i �=�f.�:t� �F=r� , _ .. �;:..xiY`
<br /> CONTRACTOR: _ �{�.:�:� �,�_�;,:_ _ OWNER:
<br /> 'i�L�i fi:'j- � i'�h{� jRv" i I '
<br /> �._.. ,_-_u'•i-;'j� �-`i i_t: i,�_,q5,.� __ . . _ _. . _ _ ._`.�` . .___ _`�z..;�i•._.
<br /> _.._, _ �"iSi�'i. �3 ,� '_'�!` t'.i_'.r�.�i' ;'?��l��
<br /> i �. . �..
<br /> "''-`'�„ �` ��F :r 7r"�i.' s_�— _ _ ' -- _ _ '
<br /> . �Gr��
<br /> .-;::.. � _ � " _ -
<br /> s: `
<br /> . ���.;: :_..: � �_r-�_�, , .,�., . �. ,._�. .`— . . .. .. _ ...
<br /> . _.. . . . .. . .. _ ... _ i)"�� i �
<br /> . « ...�... . . � � ��_M.
<br /> .� �. .,_. . �.... ;....�..: .� . —
<br /> t� 'w_.._.. ._< : i—�r'.c= 7 P=-t;';—= . _- _._ . _ �'.L..` _ - — _ _ . . .. . , .. ._. .__ _.. ..._ _. . _ . _ . __. , w
<br /> ,. u.•+..:,.. ; �� f 4 :' t ,, � i.i i
<br /> -.._. ._4 __ '" _. . r -
<br /> �••��:__ _'' .L!,?_r' . .. €..� . .�� ._._'s..__ , °�f .... ._ . ...�..._ .. _,lf'•. ...f�{ _ •..i.�_: € ... _,. . .. ......_ . _ . �� . .._...._ ... _. ,f ....
<br /> ._.,.., � j .- ._ . ..:�—
<br /> :.a i `• #;-
<br /> f � � • � :�� {...�._' `.�:ir�: _!�:'i i�- ' : �..}. � t 3 :�" ,„ f ...-.'r..... 4 • �J
<br /> _ _ _
<br /> L ; u�_ .�. ���.�:_� � . . . __ _.. _ . _.. ._ �, _ _. .._ _. ._. . __.. . . _ . �:
<br /> .
<br /> �_ �� � /
<br /> APPLICANT-PER URE —J ISSUED BY:SIGNATURE '�
<br />
|