|
PERMIT
<br /> CITY OF ORONO � _... PERMIT TYPE: _-._ _ _ : : -.
<br /> 2750 Kelley Parkway- P.O. Box 66 Permit Number: - ` ''°�=s"°�:�'f` �'`" `^�Y�
<br /> Crystal Bay, Minnesota 55323 . ��''
<br /> (612)473-7357 Date Issued: .
<br /> SITE ADDRESS:
<br /> :�:f;:�_ °=...-�;�=3; �_.._
<br /> � :,�;f,
<br /> i...'. '' :.,i : ;`;:..�_...� '' , 'f ^�(y—
<br /> ��
<br /> DESCRIPTION:
<br /> :;�:;;;�-�, s-.- „�:��-�:-; _ _
<br /> '.:;w_'=?.��i' _. �>;:3�.}�j' :.. ;,.'�,'fi'9 I�...�. .. .^`t . _ `'�i�.3:�t'_3-. ! i_.�_i;•:,�:.�i_;._ �...�._u�`4�
<br /> - _ ...`?• ., _.�;t�;.� . ia�� c�•�:; i VC'°;;_ �z``. _�i_#�h!r^" �
<br /> REMARKS:
<br /> FEE SUMMARY:
<br /> 'i_�1�:�' i-r+'��; :;y._'Z- ?_y t_:
<br /> � . � ._,._ ___. _ __ .
<br /> ,_�1�t'i'�`E;::E"—'�'� _a'....�::f�
<br /> i l,l I.ri_, �'4�;?f� �..v_'_�.».�..._.��..L . _ ..
<br /> ti;-..—. :
<br /> CONTRACTOR: � � � - - -=�>�r� �y OWNER:
<br /> _ � . . _. _ . ,t_ L• i.:i.� .�.•,=%`? .. C. ���ti f. .,i_.. .
<br /> ,-.,� _ ,- - -,-• -
<br /> ' y��_Eh '.��._ . . _
<br /> ` °=i
<br /> :_, s t-:y_�3.�;,F r;�, � t! r1fi� `=_ `.`_ a_+`.f.,tJE:� C.. _. —. �
<br /> .=,. . ,
<br /> I _.
<br /> , :.. '_, - —. _ , . : , _ ' ��.,,,
<br /> ; ,�; �
<br /> � . . .
<br /> , ._ . _ ,. . ,... . , _
<br /> . . . . . , _ _ .
<br /> . . _ . . . ,_ . _i
<br /> , _ _ _
<br /> , . :
<br /> . . _ y' �{c�
<br /> >.. t• �E'S � i.� ^�.�.t. P;�`3^ .j �" �{ ,:^ _. . .. , .�`_'S;�1+_ . . . _. ; ., .E"aP�' € �s� �'e
<br /> . �
<br /> �:. �•
<br /> 7
<br /> _
<br /> . . , o__ ...,.» . ._. _.. . .t.,_, .....�... . , ..,,.., .,:w w. . _.� � _ .. ��. . . �..��.,. i, . 1 _'i*,. ...... .
<br /> f e-
<br /> ����_`�.�`I���Q` �l�� A;���.�°'? �"�.� t3f;� A�.:i_ _ _. . i�, .. # # `�� `' __, . '�_. ._ '.d�. . . . .�s:_�._ ' ' '�:�-"
<br /> i;��r��`��:� `�:��'�I�lt���:E: �t�€�.i ��;�'�T�` ��F � � . .. _°_. ..:�i.���,. x + r� F= ,x� �'�'
<br /> L � � � � �� � �� � .� � � � � �
<br /> ���/ ,.,lma�-, �..�,
<br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
<br />
|