|
, � PERMIT
<br /> � C�T'1( OF ORONO PERMIT TYPE: -
<br /> 2750 Kelley Parkway - P.O. Box 66 Permit Number: i��`��
<br /> Crystal Bay, Minnesota 55323 � � �W = -
<br /> (612) 249-4600 Date Issued: _ _ _ _
<br /> SITE ADDRESS:
<br /> _ _ __ _ _ _ _. ..
<br /> _ , _:._ _; ; � ;
<br /> ; ;.�
<br /> , : , � :.�.,. ., . . .� .:
<br /> �-�;;�;�;
<br /> ,_ .:. , . _ �, . _ .. - - - -
<br /> -., , , . _ ,. , .
<br /> :.. � :..... : , :_. . .,
<br /> , , , . ,�,—:.a.-,-.:,4:
<br /> DESCRIPTION:
<br /> __.�__ ,_. . ,.._ _ _.,
<br /> ; �_:�� , �_ :.. �..�._.:. �;
<br /> -...:�: � . . _. _ ..
<br /> i-�1},�,a, i 3 j���i�� ��.�+�'�ii��. �'r�:}? _ ' , 's�}3 t:'-i.�V��:` ;{�3:�� �
<br /> �, _;3 � __'i.i'-i i;':`�j'L ,•'G+�.:' t..�.`."'i ._I_i t•• �
<br /> _,•�y"`•.={s+,•� _�,t��:_+ :.�.�r..fi 1-�E_� , f''•.;':_�' `'I.j'`'�;-�'._
<br /> REMARKS:
<br /> FEE SUMMARY: . ._ . ._�_._ ._ _
<br /> '�'i-::...;::: : ; :
<br /> ,. �: .,., . .
<br /> ..:...., , _
<br /> _ _._..� . �-'?�� '��'L':�:�_ . ___
<br /> —:�;-� `E�r;s-.— - :� .
<br /> ;. t _ . __________.
<br /> :
<br /> CONTRACTOR: OWNER:
<br /> - ;��i:�:. ._. '.3 ,..= ��`ii
<br /> .,� ; ,. ,--
<br /> '�' t i .$� . t t ;_� .• S : _ T, i ! � �` '�p[ ;
<br /> _ � .. _ .,, r _
<br /> '..�... � I... �. . .�-. -. � ... ..F-.. � .j.' Y �x3 .? i t
<br /> _.. _.._ _. .____.• . .. ._ . ._. .»' . '. . .... _. _ . . �...�_ . �. ..`. _#w ... . . ._ .. . _ .. . _ ... u; S, .. . ..._«.. _. _ . . ....
<br /> .,4,� 4 3 '� .i� _: -t = ��'�! ; ° S _.. _, .` 1. .. .._ .. _. . � . _. .. .,_.. _ s.. t . .r . .. i. f *-, i� i.q
<br /> � J
<br /> W. I%���!%T/�i'��--�
<br /> APPLICANT PERMITEE SIGNATURE ISSUED BY:SIGNATUFE
<br />
|