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CZTi' OF ORONO - BIIIZI�IN�T'R�iZT A.PPI.IC�T=ON <br /> . Date Received: <br /> �/ _ � _ ��/ <br /> Tctal. Fee: $ , - <br /> Date A�nrove�: <br /> �ntered Bv: �� ' �i � Pe�it� 4�' s �� � � - _- . <br /> BLFORE PLAN REv=EW WIIS' BE Sg�� <br /> �.,T.7• INFpg�2*ION MIIST BS(SU�C�� a�S` Enclosed? � <br /> ------------ <br /> --------- <br /> ------------------- p�rT�1E?Jjor CONTQ.�CTOR <br /> �_._E APPLIC�27T IS: (circ?e one) ( _ ' - <br /> - � ZIP: :SS ;�.�f — <br /> �� '� -.S% ;�C;:v"_ Ci�2� - - �2 ,r•v�i <br /> .;OB SITE A�DR�SS: '� � <br /> � (work) 7/� zkk -`�`l�5 <br /> PHON�E: �hozr�e) �i72 -�5�-i' <br /> 2iA2� OF OWNg``;" <br /> /�'v�' t� FC+2�-� � <br /> ?��I�ING ADDRESS: '�3 ;,�� �c `��� crec U= <br /> cz�: ��v�.t:., zzp: ss3�y <br /> PHONE: <br /> CvN'�RACZ'OR: ZIP: <br /> CZTY: <br /> ��ZI�IG ADDRESS- <br /> SmATE LSG.=NSE: _ <br /> PEONE: <br /> ��C3Z'I'ECT/�IGINEE�: <br /> C=�: Z IP: <br /> tu�.S.I.ING ADDRESS: <br /> REGIS�'�SON � <br /> x�: <br /> riove <br /> Addition Accessory S�iuLand�Alteration <br /> R"�PE OF WpRK: New Renovzte <br /> De�o R�*node�/Alteration _ <br /> - - .- �iv� �S � � _/c��C��. <br /> P�OPOS�D WORK (describe in <br /> detail) : �'�,nGLn' L'� "� <br /> :�'��f ut�;'zL =3"''��� _ <br /> STORIES s �=--�_ S�- "y OF EgCH FLDOR: �-J � - `r _ <br /> 2tii0_ OF BEDROOMS: <br /> '�-� Gr'1R1�G� ST�iI.LS� ATm� DET. _ <br /> �T�C�Tp� CDNS�RIIC'I'TON �ALI7ATSON (eaclndin4 land 1 _ S � <br /> R <br /> ,- an�]-y for a building per�it ae wo � �ri��i be in conf rmancef withttne <br /> T he_eby _ - that th <br /> Code; that T_ <br /> above is complete and accurate, and with the State Building e�it; and <br /> crdinances and codes oi the City <br /> understand this is not a permit and work is not to start without a p <br /> that the work will be in accordance with the aPProved pl�s- _ - - ' <br /> � DATE: �( -- 7-- J4 — <br /> APPZICANT'S SIGPIATU�=: - . <br />