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�ui-;5-i0G ui: pm rrom-�i7'r u"r uKurvO +95ii49doto i-82b P.uibiD34 F-95o <br /> _ �'� <br /> T cal e: $_55`.�2. �� Dace Re�eived: _ 7�l(o <br /> E tere B _ Peimi[#: ��, <br /> Y� � <br /> CIT'Y OF 4RON0 - B�TII-nING PERMIT ApPLICATI4N <br /> I infora�ation must be submitted in full hefore pEan review will be started. <br /> (pfease print all infornration) <br /> J PLICANT IS r �(circle one) OWNER OR CONTRACT4R <br /> r � � �an�cEss: 3�20 5�xss� f�� z�P: S53s� <br /> OF aWNER: �`G��i��(� �d�Oh-� PHONE" (home} <br /> {work) (�12/� -¢�t�17 <br /> G ADD]tESS: CTTY: ZTP: <br /> o cTo�: L� ��- Go. Pxor�: ��Z �3S`'��82 <br /> UN CT PERSON: ��� �l r� MOBTI,EIPAG�Y2: <br /> G ADDItESS: Sd 0 �/n1�oV�•.1 �ruu� �/�CITY: t�v�rl� ZIP:_-� <br /> A 'LICENSE: � ?�Ol� <br /> I <br /> C CTIEN�YNEER: ,���� �o• Pxorc�: �� q3s'�� � <br /> C ADD:RESS: CITY: ZIP: <br /> RECISTRATYON# <br /> YP F WORK: New� Addition Aceessorp Structure <br /> Move Ttemodel/Alteration Land Alteration <br /> RO SED WURK{describe in detai�:��_�-fv ° d�L`( (��4�� ' ST1G������ <br /> TO S:� SQ.FEET OT- ��y'Z 'Ml�ll� 1 Q_ LO(,�1�i�G <br /> p. BEY3ROOMS: ,� G' � �C DET. <br /> � / J� <br /> ST TED CONSTRYJCTIC � V �C � �3 ��� <br /> � � <br /> here apply fc�r a building permit a � .;information above is complete and <br /> ccur e; that thf;work will be in confo. .�inances and codes of the City and with <br /> e S a Building Code; that I understai.� a permi� and work is not to star[ withouc a <br /> erm' and ihat che work vcrill be in o ,ch approved plan. <br /> P CAN'Y"S SICNATURE: <br /> DATE: 7 ��� <br /> p ! �� o Hornes even r quire separate permit approval by Poiice Department and <br /> 'ty unci160 days prior to the event. Non permitted events will not be altowed. <br /> 0 <br />