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SE� 24 ,2002 3: 22PM ST CROIX VRLLEY CONTRRCTI 9524704413 p. l <br /> aep-ca-iuue u�:uevm From-C1TY OF DRONO +93ZY-004616 T-10a P.002/003 P-243 <br /> . . y�� <br /> , ... <br /> Total Fec: � ���-5.S Date R�eceived: <br /> __ P�tmit�t: A-t�.�� <br /> �� Entered $y: � M �. <br /> �,,� c�r� a� a�rallo - �u�n�av�r��r �r�A�o� <br /> A11 infarmatiam m�st be snbmitt�d in �'ull��fore plau review vvAl be started. <br /> (please�p�'Int adl it�f�rrruxtton) <br /> ---_.--________-�__--�--------��....__�..�_ ��..�.. <br /> �app�c�,x�r Ys: (c�rcd�ane) aw�v o�cox�cTo� <br /> .ras si��px�ss: _ �3�� �S �-� �,�,�� z�: ? <br /> � � ��A <br /> NAMT t�F UWNER: ST i� �Jc.��..�.t P�o1�IE: �home) <br /> . (work) 4�'Z - `1�1 Z - .ryo.� <br /> � <br /> MAII.IN�AVD1tESS: 23 S.r S �,�-� �., G, CY�Y'Y: zIP:� <br /> � - <br /> . w�� ��� <br /> corrt'i�cz'o�.: ST_Geb r�, v���� c�w�T;.�� _ �ox�: �}S2 -y�� -��6 3 <br /> CON'�'ACT PTRSC�N; �A,4 '�,��MOBYGE/�'AG►E�t: 6 �r`� -���-.,i�'-�� <br /> MAIL�iGr A►DY]RESS: •2s1.c w CITY: C�c.�.�.s c:u ZIP: ,S-S3 3 I <br /> STA'i'�LICEN&�: � � o2a 3 0 ��S <br /> A,RCI��T�CTfENGyNFER: Fk�ONE: <br /> 1VIAII.�iG ADDR�iSS: CITX: ZIP: <br /> NA1V�: RECISTRATICyl�# <br /> '�'Y},'E OF WU�: hTew Addition A�cc,�ssory Stzucaire <br /> Move RenladcUAlt�rati4t� rand Alteration� <br /> �Q . , <br /> FROPOSED W�Ri�(descnbe in d�taifj: ftie� ��Z?'Nb� <br /> STU1�S: � SQ.F�T OT�ACg FLOOR: <br /> NU. 4�`SEDR�OMS: GARAG� STALLS; ATT. D�T. <br /> F.�TIl�TED CONSTRCJC'I'IbN VAY.UATY�N (exduc�img lanr�: $ s�o O � <br /> I hateby apply f�r a lyuilding pecrnit ancl I acknowledge tt�at Che inforna�tion above is camplCte and <br /> accutac�; that ttie wrork will be in canfa�mance with ths ordiaances and cad�s of thc Ciry and wit�i <br /> the State $u�ding �ode� [hat Y unders[a�d t�is is nat a g�rnatt and work is nat to st�rt witl�wut a <br /> permit; and tb�t the vvork wiU bc ' axdance with t]� xaved plan. <br /> AP�L�CANT'S SI�NA DATE: � Z/ <br /> NOTE! events r�quire separate permit approv�al by Police Dapa�lmtnt arid <br /> Gyity CpunGil 6d �ys pl�or to the e1�8r�t. Non pen►�itted avents w��'not be �ellawed. <br />