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� � .� 1 <br /> ► �. �� � ; <br /> ` t�l Fec: � 7 . /� � o�. D O • "T! !_1-!?%G7 <br /> To $ DM�u1�eA�oeENi. <br /> Entered �: v���' ���: ! d 9 <br /> � � <br /> CITY OF ORONO-BUILDING P$Rll�[1T APPLiCATION i <br /> i <br /> Ali ia�ormation mast be saboltted i�hll be�e plu �will be st�r�. <br /> (Plursavriwt aQ ty6r�rr) ; <br /> ww� '-4Y��� � • <br /> � { <br /> THE APPLICANT YS: (cirele one) OWNFR CON11tACl'OR <br /> ; <br /> .roe srr�Ann�ss: '�-�3� S��ve�v� ��. z�: <br /> � <br /> Will this be s Parade of Homw,Ytemodolars Showeu�Ho■�e or ot6er Di�pl�y H ' � <br /> ❑ YeS �] No If yes.n specio!¢v�ent perndt ia nq�nad wldi Pdlae Dlep�nr'1�r�eNr a�d CIry C a�praval <br /> 6o day�s prtw to�hs s►+e� SAsdltk b�t a�ot t�Yl be np�+edtade�t�pJka�4 <br /> su,�'icient on-alrt pr�tlng ts ar+alla�bi� Ne�per�dm�wiA Mef be d <br /> NAME OF OWNER: L�, P_ Mc�Y�Cdf\ P�0111E: (l�ome).,,,_,�„� � <br /> �� <br /> MAILING ADDRESS: Z�O S�I��.('vl�AqLTI'Y: 7.I1': <br /> C'l')N'1'KAtTOR: r P'HONE: - � 2Z <br /> CONTACT PERSON: O�I�JPAG�R: � <br /> 1vlAlLil�tG ADDRESS: 1 G'Pl`Y: ?� ,� <br /> tiTAT�C.YCENSE: !� 3st,t,� F�ATIO�NDA'I'E: <br /> • A1tCH1TECT/EIVGINEER: P'SONE: �� <br /> MACY.YN'G ADDRES3: Cl'1'Y: <br /> NAME: RBI�ISTRA'1'ION: # �, <br /> s <br /> TYPE UF WORIC: New Home Addition Acces�ory3 <br /> Wlove Home R�odeVAheratioa(ie:Sidi�.W' ) ,�_ <br /> Any earth movement roQy zequire MCWD revier aad ria3ta! <br /> 1'RUPOSED WOItK(dtscribe in detdf�:'Tt� •�'♦ t'�e - �e� �,r�-+,q�,�f <br /> � � <br /> STORYES: SQ_FEET OF EACS Fi�O�R: � <br /> NO. OF BEDROOMS: GARAGE STAIJ.S: ATl'ACHED DL"T _ <br /> ES'fIMATEDCONSTRUCTIONVALUATION(etd��d): S 2, �C�Q} . � <br /> 1 <br /> I hcrcby apply for a building pennit and i aclnwwledge t68t 1h�inforia�Cn above�S oomplde �aauate; <br /> Ihflt the work wil I be in conforn�ance with the ordi�ea aod codos oftbe City aad with th�e 8ujidi�g <br /> Coilc;thet 1 understand this is noc a�it and work is n�to eRatt witbout s pq�m�t;aad d�at Uee wllt be <br /> in ac;co�dancc with ch�approved plan. ; <br /> AI'PLtCANT'S SIGNATURE: • '1 � <br /> ; <br /> 31 <br /> i <br /> s <br /> CIS"', Z�� 4�1� ' <br /> i <br /> i <br /> Z9 39tid �NI 9QS B 9��1 S�1�I�1 T6b9E£9T59 ZT�Zt 0t0Z/60/b0 <br />