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n-11-ZA03 11:a9am From-C 11'Y OF ORONO ��e , J�C��� +95 24 4�16 �,�L�C��-617� 1P 001/OQZ��-3� r ��� <br /> T�_'..E.�'r ��r��� ��=�:�` \ - '��:��� rF' ��>r�:2� <br /> Total Fee: � `%>`�_� ' �_ � �/v,� 7K�`�6' Date Recei�re3: '�_L�t-�-� l <br /> ��tered By: �.�. Pe�t#: �`z�-%i�zr;��./ ��� <br /> � �', ' <br /> �,;:., <br /> I: :" CITY t)F �RONO - BUII..DING PERMIT APPLICA'1'ION � `�-�-- <br /> �,�� �__��,LIc.�1 k� <br /> All informakion must be submitted in�ull beYore plaa ra�tew will be starEed. _ <br /> Zease rint all in ornsation �^ <br /> _--__�....,..�.......M,....,.,,.�.,_-�_,-__—�_w� ,�..Y�................M _�_,.........._...,..___�� ��1 l rY�p <br /> T�YE AX'1�LTCANT YS: (circle one) OWNER OR CONTRACTOR ' <br /> ,- . �z.��� <br /> J�B $rT�' L�DDRE'.SS. •�i�70 � '?j D SF�0�7.I.1�E_ P�• 7i1P: ; <br /> , , <br /> , ; ' �"'(�YY� <br /> � � `,/'��,� i� ti �j � ,, _ � ,_.� ' � �, � � � �"_�_'� �'�''+,'�.� <br /> ��. � �< �� � �� �� ��� �� �'v� ' �� ' �6�Y1� , <br /> NAM'E bF OWNEIt: ('itT�oF C��D�1 O PHONE: {home) � _—lj:c� <br /> (worb) �^ ,� <br /> MAILINGADDRE�SS: 215b I� '��W�I CTTY: O�oNo ZrP: 5533� �� <br /> . ...-..�.. . T' � <br /> corrr�,cTo�: _ ��v� Con�Qo,�.�-nc�1 pxox�: �s�•���-��od ���� � <br /> CONTACT PERSON: �f� 'P�� MOSILE/PAGER:- --�sl_?�S, �I 4 S`� i�.v.� <br /> MAII.�ITG ADDRFSS: Z�LS G�Tv��( E CITY: Nv• ST•�/�U�• ZIP: �o ��S�� <br /> STATE LICENSE: �' ` � � <br /> _._------- <br /> ARC�TECT/ENC�IlVEER: �1�� ��2o c�iP p�ONE: �I L��3 q • 3'l SZ <br /> 1V�AII.INGADDRF;SS: 7�Z2 N. Z v° ST. CITY: wt�LS ZTP: wttil <br /> NAME: Q l G�1lkK-D I. REGISTRA'Y'ION# <br /> —� . . <br /> TY'PE OF WURK: New �C A�ddi�ion Accessory S�ucture <br /> Mov� Remodel/Alteration Land Alteration� <br /> PYtOPOSED WORK(descrt�e fn detain: !J�l ��f�E �t'A�Tt <br /> STUR�S: SQ.FEET OF�ACF�FT,�OOR: <br /> � NO. OF B�+DROO�MS: CARAGrE STALLS: ATT. DET. <br /> �STI�NLA'1'F,D CU1`�TSTRCTCTION'PALYJATXON(excl�r�ing lan�: $ � , ������ � ''�� <br /> Y hereby apply for a building permit aad Y aclrnowledge that che infoimation above is complete and <br /> ac�urate; that�he w��rk will be in conforman�ce with the ordinaslces az�d codes of the Ciry and wich <br /> tl��e,e State Building C;ode; that r uadexstand this is not a permit and work is no<<o start withoui a <br /> permit; and tbaL��r�vork will be iu accordance with the approved plan�, <br /> APPL�CANT'S SYGNATTJRE: DATE: �'I ( '�3 <br /> NOT�! �Qf�� events require separate per►n�t approval by PoCice 1�epart�nent a�d <br /> City Council 60 da�+s prior to the event. N'on pennitted events wiXl not be allowed.T <br /> l 'd 6�L 'ON OIld�Od�O� M34 Wdti� � l l �OOZ 'l l 'N�� <br />