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1-358 P.°61:1`1: <br /> .0061011 <br /> +9522494616 rrj� <br /> V QE eRONp /� � V <br /> F`°m `�� 63 ✓, <br /> \i:Q6p�, �3. Date Received: <br /> , .zoo Permit#: �� <br /> Zo ea B9= ORONO - BUILDING PERMIT APPLICATION <br /> • Slot <br /> rmation must be submitted in full before plan review will be started. <br /> (please print all information) <br /> .PPLICANT IS: (circle one) OWNER OR __OWT12ACTOl3) <br /> dB SITE ADDRESS: IN 5 Pj) 2A ,/ f ZIP: <br /> i <br /> NAME OF OWNER: 1\ i c (< i. V / �, yt PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: � Pi-v1 ' ^f`t,; PHONE: (/�;271.3 / .� <br /> CONTACT PERSON ,), r = MOBILE/PAGER: Nog <br /> MAILING ADDRESS: 7, CITY: �� ` , z ZIP: <br /> STATE LICENSE: # ;'7.2 <br /> ARCIITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF Addition D 'tructure- <br /> del/AlterationrhiA ration <br /> %/ <br /> PROPOS! �� <br /> ( W pit <br /> — 4.42 135 0N <br /> STORIESjC T OF EAC. 1.9 0 <br /> NO. OF I (-ii • ARAGE S1 Z° l o <br /> ESTIMA" ,t (� LUATION (ea ..sung land): P <br /> J <br /> I hereby aI I acknowledge that the infor <br /> accurate; /916(/// -, �; rmance with the ordinances <br /> the State ] ,/6.0 �"� and this is not a permit a' <br /> permit; al X`7 CA/ OF:cordance with the appr, <br /> 4) ' <br /> APPLICANT'S SIGNATURE: <br /> NOTE! Parade of Homes events require separate per. <br /> City Council 60 days prior to the event. Non permitted ev,.. <br /> 5 <br />