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JUN-04-2a02 10:32 FROM:ST CROIX VALLEY CONT 9524704413 T0:+9522494616 P.003�003 <br /> Jun-D4-2002 OO:tla� F�om-CITY OF ORONO +9522494616 T-3T1 P.002/003 F-144 <br /> , <br /> T�tal Fee: .$ `1`/L� �� � '� Aat�Received: ��`�,t- <br /> ` Entered By: r) ��L Permit#: ; <br /> 1 <br /> � ' �,'Y CYTY O�` ORONO - �YJYY,DYNG �RMIx AP'PLICATIQN <br /> � a� <br /> V All informatian must bE �ubmltted it� �11 bePore plan review will be started. <br /> � (please prind ald dnformanioR) <br /> ___�._.._�_.�_._._............._. ._.__�� .........,._..�...._--- <br /> T� APPLYCANT YS: (circle one) O'UVNER CONTR.ACTOR <br /> aoa srr�annn�ss: �7.r� �t s� ��-� z�: �''�'3� t <br /> N'� OE OyVNEYt: �/�'u i D ��C r�,�e� PHONE: (home) 9.r 2-933-�'0�0 <br /> (work) <br /> MATLII�iG ADDRFSS: Z7.t�' Cks� �. I�D Cx'�"Y: w a}1 a�r� 2�: .,��r 3S�- <br /> CON1'RACTQR: S� Cec jy� V�t��ey,�,vT/1Ac�iiJ6 _ PFYONE: <br /> CONTACTPERS4N: 44 3R�2 MOBII.�'.lPACEYt; �SI-7��-.t'b�f� <br /> MAILING ADDIZFSB: �'1 � CYTY: �i Lc�.,s��� ZIP: �'S 3 3 l <br /> STATE LICENSE: # �-2�3o y�y s- <br /> ARCIi�'�CT/ENGINEER: P�-YONE: <br /> MA7LING ADnRESS- CITX: �Y.P: <br /> NAME: R�ISTRATION� <br /> . y <br /> T'Y�'E OF WOI�tK: New Addi�ion Accassory SQucture_ <br /> Move RemndeUAlteradon Land Al[eraii0m <br /> ��OPOSFD WdRK(describe in detnan; �E�-v�F � /2.c �ic � <br /> STOYtYES: SQ.�ET UF EACH�'I�04R: <br /> N0. OF 8ED1tOONLS: GA.RAGE STALLS: ATT. DET. <br /> E.S'TIIbiATED C4NSTRUCTION��AI.UAT[ON(excludiug laad): $ �� vo <br /> i hereby apply for a building pemut aad I�awledge tbat the information above is complete and <br /> accurate; that che work will be ia cnnformanre with tl�ordiaances and cades of the Ciry aad with <br /> the State Suilding Code; that I understand this is nnt a permit and work is n�t to scar�wirhoue a <br /> perm,it; and thai the wark will be in ordance with the approved plan. <br /> APPLICAN'I''S SYGNA DATE: G-�t- y- <br /> NOTE! �f l�mes evenas require separate permit approvaY by 1'olice De�aard,eent and <br /> � GYty Councid 60 dc{ys prinr to the event. Non-perntftred events wiJd no6 be ailowed. <br />