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CITY OF ORONO - BIIILDI3dG P.rR1�iIT APPLIG�TION <br /> Total Fes: $ Date Rec�ived: �'o�y� <br /> Date Approved: <br /> Entered By: <br /> Per:nit�: <br /> AT.T• II�]gORMATION MDST B$ SiTBMITTED IN FIILL SEFORE PI,�N REVIEW WILI, B$ STARTED <br /> -------------------------------- <br /> -- ---------------------------------------- <br /> T� AppLSC.�I'I' IS: (c�.rcle one) OWNE or CONT_RACmCR <br /> Jos si� AnnxEss: �'���' ��l.�Gtf� '��R� Qc�. zzP: S 3°1 � <br /> cwark� -ogSb <br /> � , � P30NE: (home) •D�� <br /> ?� OF CWN$R: � <br /> MAILSNG ADDRBSS: � CITY: ZIP: <br /> � <br /> CONTR.ACTOR: ��� T � . �l ��G�rL PHONE: <br /> --�—.--� <br /> _ ..___ . _ . . _. CITY: ZIP: „-- . -�._ . <br /> MAILING ADDRESS: �-� e <br /> T�F OF WORR: New Addi��on�_ Acc�ssory Struc�ure Move <br /> Demo Re�odel/Alteration Renovate Land Alteration <br /> I �� � i <br /> / <br /> PROPQS$D WOKR (describe in detail) : <br /> � � � <br /> �TORIES:�_ SQ• FE$T OF E�CH PI.00R: � <br /> ATp. QF BSDROJ'.��.i: G.'�iFtAG$ STAI.LS: ATT. DET.�,� ' <br /> ESTIFiAfiED COASTRIICTION VALIIATIOA (eacinding land) : $ � �0� � �'� <br /> I hareby apply for a building germit and I ac?cnowledge that the informatic <br /> above is complete and accura�e; that the work will be in conformance W=�hat� <br /> ordinances a�d codes of the �ity and with the State Building Code; <br /> understan3 this is not a Fermit and work is not to start without a permit; ar <br /> that the ;aork wi�1 be in �ccordance with the approved p lan. <br /> � � <br /> �rPI.ZCAF7T'S SIGPIATURE: DA�� <br /> (Please fill out th rev rs i of this form) <br /> 4 <br />