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06/67f2007 e9:11 7637894166 KEVIN JOHNSON PAGE 01
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<br /> Entered By: Pe�ait#: R i 1103 . .
<br /> C�TY OF OR.ONO - BUILDING PER�'��T ,A►PPL.ICATION
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<br /> THE APPI.ICANT IS:l� I (circle one) OWNER OR CONTRACTOR
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<br /> W�ll t6is be a Fs�ade o�'Homes, Remodelerg Showcase Honae or other Display Home?
<br /> ❑ XC8 Q �0 .jf yes,a speeia!event permit is r�quired w[lh Police De,parK»aen(and City Counci!approva!
<br /> 60 days prior to rhe event, Shutlle bus service wi/1 be requi�ed unless a,p,plicant demonstrates
<br /> slif�c.i��tt r.ttt ^�'.'>�^4:,;�r,�c�•c:rlah.,l.c Nnp n�rnril��d cuC!tl.F i�'r!�t;^t�;.::1!:-,r.��
<br /> NAME OF OWNER: �chard Krier p����,� ���e� (952)475-3653
<br /> (wbrlc.)
<br /> MAILING ADDRESS' 1491 Shoreline D�ive CI�: way�ta Z�p� 55391
<br /> L�`i�i i��.�V.�: ;iC�7�IO�rjGCu�wG��awui.iiJ�: A[2�l/A\L': `���a��
<br /> CONTACT P�RSON: x�m�o�� MOBILE/P,A+�ER: taiz��iaJst i
<br /> MAlL1NG Allll1t�S5: 2050517onnelly Ave (.;l�l�y; Farmi�oa ��p; sso2a
<br /> STATELICENSE: # zostsaeo EXPIRATIONDt#'�'E' 03/3l/OS
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<br /> ��.I�A��: C'�'�'Y: ���:
<br /> NAME: �2EG�ST1tATION: #
<br /> TYPE OF WORK: New Honae Addition Accessory Structure
<br /> M�ve Hnme Remcxiel/Alterari�n (ie: Sidin�,V�Iin!��wS� ✓
<br /> �i� �ar�� ��;.�������.i�, �tza.y rer�ui�e �Crr� �ar���; �:�u �dlZll1ll:,d!
<br /> PR()PnSF..D WnRK(deserihe tn detai�: �o�o d�ywall,temove old fiDerg]ess i�sular�ion,eptay closed cell
<br /> �Foa�m ir�tv ensiatitsg atud apacea,rol�ang drywall
<br /> STORIES: SQ.FEET O�'EAC�i FLOOR:
<br /> �it). Ok�EI3ROOMS; G,�,�#GE S�ALL�: .���ACI��� DE`��LHEI�
<br /> EST�MATED CONSTRUCTION VA,LU,t#TION�excluding land): $ 6�744.00
<br /> I hereby apply for a buildizig�exzxx�t and I aelrnowledge tb,at tk�e iz�formation above is complete az�.d accurate;
<br /> thar the work will be in conformance wat3�tk�e o�dizxsmces and codes pf t]te City acad with the St.ate Dui1ding
<br /> Go�;t�►�t.�'�an.+c�ev'9.ten.d x�ia i9.�+t a p�ir.r++:i�.�fld�v�rk.i.s.r.�o�t.to.st,��#wi�tl�.fi 9 parm:i.�;��d Lt�s�fifi t����xk wi)]be
<br /> iva accordance with the approved pxara,
<br /> APPLICANT'S SIGN,A,TURE: D���, 06���io7
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