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s _ CITY OF ORONO - BC}�DT'.'� pg�2M.IT APPLICATION <br /> ' /, �,� � Date Received: ;�(�%S <br /> iotdl. r��: $ (L? l..F <br /> DdtA AD�Z'CVEG� : <br /> ���e=ed B� � ,� ��` Permit tt : �`� r <br /> AT.T• INFORMATION MIIST BS SIIBMSTTSD IN FL�I' B��� p�'N ��I�"� �� B$ STARTF.D <br /> (See Check-ef� List Enclosed) <br /> ------------------- <br /> --------------- <br /> .� Appr,=�7� I5: ( circle one) G��L� or CONTRACTOR <br /> 3'CB SITE ADDRSSS- I� ��� ���l��/1� L-16�� ���- ZIP: <br /> (work) <br /> �'�=�/t���� ,�. C PHONE: (home? <br /> *7P.ML C� O�lNER: � l / � �. <br /> � !' CITY• ��=-�-�rL.7� ZIP: �5�� � <br /> ?�.�II,ING ADDRESS: � Z Z� S�`�..��-�Lc1� �.,� <br /> `,-..,--� ���� PHaNS: ��'-�z ...._'����,-�" <br /> CONT?.ACTOKs ��v�'� L � - , <br /> ti <br /> '. �� �"�CSG'���tc �'�t�c�: C�1fL�c..�� zzP: �� � , <br /> ,s�IZING �iDDRESS: �C _ <br /> ;TATE LI,..:�NSE: T ( � ��'� �� <br /> �, �---�,a � �-�� PHoxF::_�7`7-� �Z � I <br /> 'r?2�HSTEC�'/ENGIrTEI'.R: �� — <br /> �s DP.ESS: � � �C�i � �7�� ��' ,�__�ITY: 'L'[(,� -�Z� ZT�': �S�F� � <br /> �L�NG � `` <br /> RBGIS�RATION A <br /> N�: <br /> �pE OF WOR�: New <br /> Addition Acc�ssorJ Struc�ure Move <br /> �e�;o ReTnodel./Alteratio� Rer,ov�te Land Alteration <br /> L� �(� `�=�-�S <br /> PROPOSED WORR (describe in detail) : � ��y ����� <br /> �L-'L�-� �''�l-^� ?� ��Z'� ��-'i'\ <br /> FE4T OF �CH FI�QOR: �C-�_.,f ��- �— <br /> STOR�:ES:�-_ S�• (r i <br /> �i0. OF BEDROOM.S: � C�R1�� STALI,S: ATT. DET. <br /> .-�� <br /> � C�` - <br /> �STIMATED CONS3�ZIICTIQN VALIIATION (eacluding Ia.nd) : $ <br /> � hereby apply for a building permit and I acknowledge that the infor.nation <br /> �cove is co:.iplete and accurate; that the work wi11 be in c�niormance wi��na�h� <br /> ordinances and codes of the City and with the State Building CD erm;_t; and <br /> understand this is not a permit and work is nat to start without a p <br /> t�at the work will be in acc� ce wit e ap�oved pl.an. �. <br /> � � <br /> �._ppZZCANT' S SSGNATURE: <br /> DATE:� � <br />