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ToW Fee: S /1.3_ASJ LM <br /> Enwed By: pest <br /> CITY OF ORONO m BUILDING P T APP- i . .. ... ...:. <br /> �ICATION <br /> AN Information must be aubmWed in ill a 0re.plan review wtu be stated. <br /> (P9 a pplAr all 14formarlen) <br /> :...w.m......rr��..wwswore.rear•wrwswa.urr�...........r«�—.��� <br /> THE APPLICA'N'T` IS: (circle one)' OWNER OR CONTRACTOR <br /> JOB SITE�D1 �'� 1. . 4'�-� -�` ° <br /> 1 •�'T <br /> . <br /> NAME OF®*NML PHONE: (ho�ae <br /> (work) <br /> MA11MG ADDRFM: 1 CI°1'j�a : <br /> C() AC AOR: je=L nj"jyL4 %W=IEM� FROM: (.S1- atoy�.yam} <br /> d4iAL8 G SS: nab b CM3:N jd.C WCs M71 e 1�0 i-5s11 a <br /> ARCXMCT'/WGMER: RHONE: <br /> MAILING CRESS: Crxy: <br /> N -- <br /> WRATIOt# <br /> TYPE OF WORK: New Addidon. wry Structure <br /> Move model/Altaradon Land Alteration <br /> .17EDW (detcrl int detail): S <br /> EACH <br /> F=R <br /> NOa OF BEDROOMS: GARAGE STALLS: ATT. D$ <br /> T a <br /> ESTL�UTED CONSTRUCTION VALUATION (oxclud3ng lataMa $ <br /> O� <br /> I bsereby OP0Y for a bulldiag,pamt and I acknowledge that the inibrmadon move is complete and <br /> k=ate; ffiat di6 work will be in Q0nfatM=-With she ordina=s anal ;odes of the Citi abd with <br /> the State ftUdinS Code; that I uadaj5And this is no t and wont is not to $twit without a . <br /> permit; and that the work wM be lomonbmm approved p1in., <br /> APPLICANT'S SIGNA a <br /> A'®TX! ZaM&gfffg=eB gnu 7egrde rep.2rote permit approval by police Depotcay std <br /> coftneff 00 days prior to.the event. Noy putted evens wig not be allows <br /> 0 'P,PHOL "NiM. hill !wAad sauo0 J4P13 _ „ 09ti : 6 „SO06 -til -ASW . <br />