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��+�`� + .� CITY OE ORONO � ��T.AING PERIKIT APPI,ZCATION ��%��! ����
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<br /> "t���;� � r�'.7,�,5� Date Received: - —
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<br /> � ���� F Date Approved:
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<br /> I�FORMATIOA MIIST B8 SDBMITTED IN FUI,L BEFORE PLAN REVI�W' WILL B$ STAItTED
<br /> '� (See Check-off List Enclosed) �
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<br /> �'ti',�'88 APPLICANT IS: (circTe one � OWNER r CONTRACTO
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<br /> �;����B "SI't'R ADDRESS: o�/� �� � �, ZIP: 553 S �
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<br /> : . (work)
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<br /> ,k� OF OWI�BR: � PHONE: (home) �7.3-��l0
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<br /> ��I�ING ADDRSSS:�/�S' LD � /�/ CITY:G� ��-�/� ZIP: ��3�
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<br /> ,,�.`4�TI�ACTOR s ��.:�OYT�'I�.� PHONE:
<br /> �` �, �5�E WAIRATA KYOi.
<br /> ���1,�NG' ADDRESS s CITY: ZIP:
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<br />� lMOI�41�1Z31 _
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<br />�� ,L�$ ipF WpRR; New Addition Accessory Structure Move
<br /> ��,x���� D�mo° � Remo�c eT/Alteration �— Renovate Land �teration
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<br /> °��D� WORR (describe in detail) : /��
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<br /> .,: : :. r" � SQ. FEET OF BACH FLOOR: .
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<br /> �b�"_ $BDYtOpirlS: GARAGE .STALLS: ATT. DET.
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<br /> �.+,'�1`�,�`;CONSTRIICTION VALIIATION (escludinq land) : $ 90 S� "�' �
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<br /> > ����eb'�, apply , for a building permit and I acknowledge that the info=m'ation `
<br />� `r di� i=;�`,cofttplete and accurate; that the work will be in conformance with the
<br /> $ �.n�a�iees :and codes. of the City and with the State Building Code; that I
<br /> , i�'��'�te�rid this is not a permit and work is not to start without a permit; and
<br /> ��kt the ;work will be in accordance with the approved plan. _
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