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� '�'otat��:e: � � �ate,l��a��ce6v�d: <br /> ' Entered 13y: Permit#: <br /> C�'I'Y UF ORONO - BUILD�_NG PEYZNI�'T APY�ICATION <br /> All 'uiformation rnu5t be submitted iu fiill befo►•e plan ►•eview will be started. <br /> (��lecrse p1•ir�tt nl1 infor�mafio�r) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> �Y�E�� A.PPI,IC�I`rT'T 1�: (circle vne) OWNEI2 O CONTRACTOI� <br /> �c)B s���,��,n�nrz�ss: Z�74�'" S��O[.,/��r� ���o zl�: <br /> � Will this b a Parade of I�o��rs, IZemodeiers Sho�vcase Home or otl�e►- llispla�� Ho►ne? <br /> ❑ YCS �NO ITyec, a specin/ere��/pern�i!i,s reqtrired u i1h Pollce Deparl�rren/a;�cl Crlv Coau�crl a��prrn�al <br /> 6�dcr��sl�riar fo l/ze et�e��l. S/ac�t/!e bzrti sei•rice ii�ill be r•eqzrh�ed zrn/es�s applrccrnl dc:rnarsrr�_u��s <br /> srrfficieni ori-sile puri4irzg rs avni/uGle. TJoi�-per�nitl�d e��eur`s rvr//noi�e alloiv�d. <br /> NAiVIE OF OWN�',12: G�� 7 J�.5�� F'i _ Y�ION�: (home) -' <br /> (wocl<) 4/z-3 �9'Y�Z <br /> Ivr�ILINC� A�nR�s�: 2��5`_5�/��r.�a�_cI�'�': �1i2o�7 zTP: sj" <br /> c(�1���'I�c�oi�: ��s �xrxa.�� l�c�c,. P�roNF:Co�z-zu-gG�7 <br /> C(�N'1 ACT PF.�2SON: �K�v���- �1'J 1!�[(�33II.�/�'AGER: __SJ4n+e5�' <br /> �A1.L1NGA17tli���: I��I / S�✓�Z. GIL i.il Y: �41.��n/,� �i�: �3�7 <br /> �TATr LICENSE: # Zo��38oY-L. 1�.�i�II�ATION llATE: o� <br /> ARCI3ITEC'I'/�NC�IN��I�: P�ION�: _ <br /> 1�IEilL,II�1G AI)DI�ESS: -- C'IT�': ZIP: <br /> 1�A1�E: I2�GIS'lIt�'�"I�I\': # <br /> �'v�'� ��'W�����e New H��n� Additioi� Accessory Structure <br /> Move ?-Iome Remodel/Altecation (ie: �iding, Windo�vs) <br /> 71ny earth movement r,1ay require MCWD review and permits ! <br /> �'fl2��'�5��W012,��(c/c�s�c.�a�ibc iea cl�.�tcell�; ! t�rQ2-ot�'� ���"'✓Lo6fs <br /> �'�OI2I��: �Q.��E'T OF LACH F�.O�R: � <br /> I�1�. (3!+ ��9��20�1�5: (;AI2�SGF ST'�1,�,�: ���"�'�����.� ��;k�C�I�,� <br /> ��;��'xI���:.��'�;���'��i�T�r�'�h J�,.������s� �I�F,��,�G�'9a�i�1��:��:�a.���s�a��6����): `� �� 4Q0-`" _ <br /> I hec�by apply for a building��ermit and 1 acl:no���lcdge that the infori��ation above is co�nplete and accw�atc; <br /> th�t the�vorl;will be �n conformanee �viti� ti�c ordinances and codes of the Ciiy and���iCi�the State 13uildin� <br /> Cocie;that I unde�rstand this is not a permit�and «�orl:is not t'o st�irt��vitho�it a pe�rmit;and that thc�vorl:wi I I be � <br /> in accorda��ce ��,�ith the approvec� plan. � <br /> ��'1'���'AI�]`�''��1�si�A���J�Z�;: � �:���'�. Z- � O <br /> :1 <br />