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05/21/2004 FRI 08:9� FAX 1�003/00� <br /> �������� <br /> Nay-21-2004 oB;d3am From-CITY oF oRoNO ..+85zZ494616 T-zlo P.00Z/oo3 F-493 <br /> , . - .... . - � - . _.. ...--- <br /> Tota.!Fee: $ ,�r��j���'_� <br /> D�te Received: `_:�rZ i /=s `� <br /> Entered By: �t) Pe�r�onit#: <br /> ._.... CYTY OF OR.UNO -BiTILD.YNG pERMYT APPLICA,TION��� �s-� '; _ <br /> All information must be submitted ln fu116�fore plao review wi71 be started. <br /> (pleaseprint a111nformat�on) <br /> - THE APPLICANT IS: (cirrle a�e) O'V�NER OR C4NTRACTOR � <br /> JOB SITE ADDRESS: ���S S�1�re'; cn(�.��P ZIF: SS�q/ <br /> Wfll t6is bc a Parad� of$omes,lZemodelers Si�owcase Home or uther Display�ame7 <br /> ❑ Yes � No If ye,s, u speciad eyent permit is required with Police.nepart�tent a�d City <br /> Council approval 60 day,s prior to the event. Non permitted even�wtll not <br /> be allowed. <br /> NAME OF OWIVER: � �- S�� �w„�r1.D � �,;�, PHONE; (bome) 9��-�7f�a�0 <br /> MATLING AbDRESS: 3��� S}�c� �M� IJl`� CITX:, �work) Ql�= 7a.- G�2 Sa,�y� <br /> . �. � ZIp: SS-� <br /> �V'� <br /> . ` ,�'�`'�J�L �� ` �L� �l�`'�'`%11 <br /> CONTRACTOR: � e Ca� A. � , �%'PHOI�TE; 7 �-,��6-/,300 <br /> CONTACT PERSON: ► S ; MOB17 E/pA,CER: ��b � .Z 3 - � <br /> �r�J[x.xN�A.UDREss: -_ � � p crr�Y': P zrP: ,�;�L <br /> STATE LICENSE: # <br /> ARCY�YTECT'/ENGINEER� ./� PFIONE: <br /> MAYY..INC ADDRESS; ��: -�---- <br /> xan��: zrg: <br /> RFG�IS�RATION# <br /> TYPL OF WOR�: New Accessory Strocture <br /> Addition Move � � <br /> RernodeUAlteration� Land Alteration . <br /> PROPOSED tiV0�K(describe ln detar�-.��-�' � �j�m� Q ���� 1 w� <br /> n V (•�z"�s'I'a�ll Tr�` te, ��r� �t d,-f' ,,,,, wo,( <br /> � kv�, s�rw� �S <br /> STOR�S: e� � � ` a^^�ye <br /> SQ. FEET OF EACH FLOO�; p <br /> NO. OF BEDROOMS:�_ G_4RAGE STALI,S: A�TT.�_ DTT. <br /> �STIMATED CONSTRUCTIU�I' 'VAyUATYOIV(excluding land): $ �5 p0(� <br /> I hereby app7y for a building permit and I ac�vowledge�j�e inf�rmarioA abovc is complete and aceurate;tl,ar rhe <br /> wark vvi�ll be �ri evnform,az�ce with the ordinar�ees and codes of the G�ty cind wit$�e gtaic 13ui]ding Code; that I <br /> understand rhis is not a pc���d work is�xot to start without a permit;and th�t�c work will 1�in accordance with <br /> the appraved plan. <br /> APPLYCANT�S SIGNA.TUR�: DATT: S a� <br />