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01/24/2005 10:25 7634344933 HARMONY HOMES INC PAGE 02 <br /> -- . T-477 F,002/003 <br /> F-0J5 <br /> Jan�24-2006 00:93 11 Frw-CITY OF ORMO <br /> mit#:Dateved: <br /> Total Fee: 0215' 30Per <br /> Entered By: S <br /> n� <br /> CITY OF ORONO-WELDING PFRIVIIT A PLIC .TION <br /> All Ialormatloa must be.submitted in full before plea review wM be starte4• <br /> (puasepriest all informadon) <br /> T <br /> THE APrtccarr IS". (prde ons) OWNER OROT <br /> JOB SITE ADDRESS: b a'S !? - ham' up <br /> Will this be a Par1d�oiSon►es, <br /> Remodelers Showcase Home or other Display Home' <br /> e 1)epwment and CRY <br /> Yes [� No ifYes� a special eventp inor to thejreventt Nora upemwed evenu wi11 noe <br /> Council approval 60 daYS p <br /> be allowed. <br /> R� pp,, �s Pgo : (home 151-LIUa- 13�3 <br /> NAMT OF OWNER. _�N41� - k"va ) �- - D <br /> M!►I><.mtG ApDaREss <br /> LAWLST&"V few I.G, CITY.. (frond 21P: <br /> . _ <br /> CONTRACTOR: KU+ PHONE: M-413=�— <br /> CONTACT PERSON: MoBi /PAGER ''�� ....-- <br /> MAILING ADDRESS:311 v � -L�: ^'�' � <br /> STATE LICENSE: <br /> ARCBITECT/ENGMER PHONE: <br /> MpII,ING ADDRESS: CITY: PHONE. <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Accausory,Structure <br /> A(I(U on Move <br /> Remodel/Alteration V-,— Land Alteratiop <br /> PROPOSED WORK(describe in deta o: t .ACGJYI d bUr <br /> o„l <br /> STORIES: _ SQ.FEET OF EACH FLOOR.- <br /> NO. OF <br /> LOOR:NO. OF BEDROOMS: , GARAGE S'TAY.LS: ATT.-- DET.! . <br /> ESTIMATED CONSTRUCTION VALUATION(exelud'uag land): 3�9 -- <br /> I hereby apply for a bvdldjug pear it and I aelmowledge that the information above is costsplete and accurate;flint the <br /> work will be in coufttnsace with the ordinances and codes of the City and with the 3=Building Cade;that I <br /> understand tHis is not a pernnit and work is cot to 5W an'thout a permit;sad that the work will be in accotdauce wl:'h <br /> the approved plaza. <br /> APPLICANT'S SIGNATURE: DATE: �� <br />