|
, �. PERMIT
<br /> - Cf��F ORONO PERMIT TYPE: -_ - -: :::,
<br /> 2750 Kelley•Parkway- P.O. Box 66 =��`-�������=- -� �--
<br /> Crystal Bay, Minnesota 55323 Permit Number: t�r;:s:�:��s�:-� �
<br /> (612) 473-7357 Date Issued: t`;�;.;:`��r�,`�-:`
<br /> SITE ADDRESS:
<br /> ��- -,,. ,.- -
<br /> _ _ _ . _�;��=f�-��_�.� . ._. ,.
<br /> _�j
<br /> y �� . . � r,t_ `i � �'— ___—ii.�—':4:_ _. qp
<br /> N
<br /> DESCRIPTION: �
<br /> �;�;_:;� �
<br /> -� :�:�--r :.-. -� - - - . _ . .. . .a.
<br /> � _ ,�:, � ����� �,�'(���E �.. .: -._ _�__._ y=�_�€} _ °�' . . , _ - -
<br /> .?f}�33�'.L.I �
<br /> ,,���-._. E �.',.'�' t_�,_,�,_. �
<br /> REMARKS:
<br /> FEE SUMMARY:
<br /> ' •i' _sF� _
<br /> � ._ + ".•) ' �'J{i' ' � F��%i
<br /> j_i•'i.�_�� F �, �?'1•=*_ . _ .. � ti"?i{.._ _tti ...._...�__..�...._ �
<br /> �'E,_�;'{��_j:�l i~ _..�.._....._._.. ~.a��.d,.c . `..t:..�}, �`^N'�+ �:;i I ... r .��
<br /> �;_��-��.:�,$.;3 ^s�f �'�_,
<br /> I
<br /> CONTRACTOR: '��= - - OWNER:
<br /> _ _ : - ., . _ -
<br /> °-� � . .i.� : ; _ .. ; _
<br /> �... 11 � '.� I i r.�? if"�i_• y.�� _ ��-..._ a.. _' „�,� '".3,�, . i
<br /> ..... . ._+.'w:}�.�. = ; �f _._.. _ _ _ -.. _ ...-.. _�;ri: I�^ Mh'Fi #;�
<br /> �`��i,7��i.=F i i�s i j r'S. {� f' ��'� i!v I _ ' ':�,j'�
<br /> `•�: . _. .. ,_�....�'_; E�,,! _ _ _ .f_;,�{i�f �,;•, _ _. _. _ ,
<br /> i
<br /> _.. _ _ ._._— — — 1q
<br /> � �t y ..Y'f�.'_ � �f..., .�?_.� �"�i`Li.�.t�' . ,....� »,.._ . _. . _.. .��,,, _ _ _p,�_i3:: 3~f_� F.. .. ._. . . .... . .... k.. � . .. . . . ..
<br /> :: .m�.. . • ,.
<br /> r. t L� ` � �� .�
<br /> . . . _.. . ._ . ,.... r "a . `r . � ';. c»; , ' :. ;�:
<br /> . .:._ : r-t.. . . .':, ' "5 .`r
<br /> , .�_.._.i_ �v„....
<br /> �'"�k.__'"'7}.. ; ' 's t,R�a , �.. . L".'_. f`.t,"c = % — ,'"s r>� T.'
<br /> :"rE"s_<�.t, __`�L: �;=�:1� ; .{.�!'.___�_� i�.' _:=�: f�__�... `•, i �`i•.. a �l _. . . ._ .. . .. , _. .� .. . . . . _. � .�'i` ...
<br /> „ _ ;». �....i.,�� ,«._ ".„ $�. r� i _,1 _' .. S.: ' ! '-1
<br /> ,..
<br /> d 'Fa `I ; ! !'s1E • • it� 1 l r�_� s;•�,:r��S ..� �� ! �. . I 3 � s ����^s t �f�� }�� n
<br /> _ . �.. . ,_�a � . ..+�_._.�_ . .t�_ _ . . . .._ . ,; ,.,_..." • . .....C. , .. _ . . .... , _ . .. .. _ .
<br /> L �
<br /> `� �� C��ma �
<br /> �1�c�,� � ���
<br /> APPLICANT/PERMITEE SIGNATURE � ISSUED BY:SIGNATURE
<br />
|