PER�IIT
<br /> CITY OF ORONO PE�iMIT TYPE: �;�v;�4� ;,{ ���-.t��:�;
<br /> 2750 Kelley Parkway • P.O. Box 815 Permit Number: ;�;�:;�;;��r,
<br /> Orono, Minnesota 55356-0815 "
<br /> (612) 473-7357 Date Issued: i :.:��i i!�a::;
<br /> SITE ADDRESS:
<br /> -..�.�.f_; �;�':'v = :t_:� .�i°i;
<br /> �,-�' :
<br /> F . _ . . . . . _ -`-1 i� _.__. ..:3.—(_7:'_?�_FF��
<br /> DESCRIPTION:
<br /> t'"� h i'�T'"('
<br /> _���yd?�:i _ _:�:�i:jr'.�_. . p
<br /> �`��'1{t�l�i' r_j �.jit^9 iy.i-'N F_+t��'-.r�:�t. i '��i��, _����:�r��.il t...i_`��{i'ul�����V 1 ������
<br /> 1 `
<br /> _��_`4c%�.=�' .:? �?'r::ti.:=?;" �fi:�;'*:. i �'�::�; :�'.::•�.LJ��`�!_.•�'.
<br /> i��i,i..%vt%v�r�v n
<br /> L�.1. 1.lLl� t�lrlsV�
<br /> �'+''�"!f If}f}/Z{! �I
<br /> i f�ttl:.YVVVV fl
<br /> C�ts—D�i�—�'b�—
<br /> REMARKS:
<br /> FEE SUMMARY:
<br /> ��.�,�� ;___. �;:=;� . ;_;i_;
<br /> -,.�t�__:�-_::;�r��=, �-------- �; �;'i
<br /> !��,7f.c":t� �'�-,E_• _ _ ��i_i
<br /> CONTRACTOR: �- :���=�� ��-�r��� - OWNER:
<br /> !h; {�.}:•ie=i'; ....,�. . 4 _. _. . .�_e�:. ��_�y�
<br /> ,�`�.:3.f-�1 !`.'-f���� F-;i i`; `�fti 3 �,y
<br /> -:,Y,-�
<br /> - _ i�i_':_: ��I'=� _ ._a =��'t 1�'��I�.+�_ F:i i
<br /> � ��{_�F.i' '�.�.•_ _!f;` . {. Y 7. __'� `�Li 'e' �'r�i`t� CL._��L,i
<br /> , t�t 'i.`-=� '`: E� t;!">,I ,.�"=' ie�c,;_�[�,�:_; . ,.s — _ -• -• -
<br /> . .. _.._. . _ "j.�. ._ ._ ••.F;�'�.',L.;%:�`:--�-�`_��,;':��
<br /> _;. ,. . _. _. .. _. . .. ._. - - ' ' ' -�-
<br /> + k ,�i r._.,,,_... .
<br /> �i . F .. • i ": i..r��l4 _ '1 L. i.: _ _ }'� i�l 7, e �..lL. �'i���\F ' �i`i
<br /> < �...:L.. i��V�:��'i.'j i,��iv�k 1 i�'.-�Lf.A' . . ...... �'�"._"'. . �. . €...'�•���?' _' _' f i_� �} � _, S��^�:1 '}.,. _'�'".': x;;•.�i',j i
<br /> -�-'`. - ^_{�- 1 E 1...._ j_ t�� ...i = f _:"r:i;:` ;i.` - � #-`7E"'' s '� {"j;�-'; 'rs -'•'-" ,,i' ;.� " ' ;- " _�€_
<br /> _. �i" �� ��:''� �'�rt� _ .. .___._ .. .: . _. . _ : .� _ � _ _ _1.: r��'�`.:s._ _ . �'i�L._ : `s .��T _.
<br /> 5���:,- e,t�.� . L, T. ;_,. ._.,���_., _;�;3.,, - - i- -- - - - .. ..i.�r }� : c;-:.:�r,,..:-_
<br /> ,_,� , fi.s3,,, I_#!;�)�Fut-±�'�?;.•� .-.��s i '_: ? r. . �._ ° !"`*.., .. ._._.:i,i�f �'i ��t;..�._._'1,;:1;,- i,:i_'�7F, �;�_ . i:t�= . . , _. . �
<br /> t
<br /> r
<br /> ��� ���
<br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE J
<br />
|