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A01 11Z.14 <br />CITY OF ORCNO PERMIT APPLICATION <br />• CITY USE ONLY <br />BUILDING PEINT <br />No. Date 1- 9. J�L <br />Ptg <br />Inspection <br />Insul <br />Final 00 <br />speci�— <br />ORAL PERMITS <br />DM No. Date Ins. <br />Plmbg. e76e 3- T 4• Z � <br />�+V + IP AAIPJ + „r <br />F res_igp_ <br />Well x { -7 81 AQ-Lir <br />Water <br />Meter <br />Septic X47L D ;jr <br />Sewer <br />Mech . <br />,-CNING Dist. <br />Area SefSaCKS <br />Variance <br />Card. Use <br />Lot Comb. <br />PLAN REVIEW OCMMV1�' / - 4 - 7'? <br />Dater A .Ake.. t_e <br />A� IOU- 146 l 1 04 Pr.... Gra f. <br />� r M*WI44k, <br />Permit Fee 3 1 <br />Plan Review Fee 159 <br />State Surrccharge p <br />SAC CharI" At H <br />Total Due a I A..., <br />PROJECT Lot —of —B MM �11U1tiW Now 07,E <br />Owner 'PIWC- TftVLo fL. <br />Address UY MOOT" � M I W N <br />Phone <br />Builder DMJtO N ITL 2*xo <br />Address _ l q Q t F'46f W% -;j-r, 4*, <br />Phone 411 -q 651 <br />PRINCIPAL ST W O ft$L <br />0 <br />Bsmt: Fin Area p Unfin Area 7— <br />Hain Flr: Width_ Depth 3Z AreaJj_�� <br />aid Flr: Width�b_ Depth 3 Z Area Z r OMso <br />ACCESSORY STRUCIURE TYPE oc wit <br />Width #S-.SL Depth Area <br />Est. Completion Date 6 - - 07 p` 89 <br />Est. Construction Value�3 -U'e 0� <br />Lot Width t 1 Depth Area Z. A' <br />Lakeshore: Yes No <br />Wetlands: Yes No__x_ <br />Prop., <br />Front GZ Fear Z*1 <br />✓ S <br />Side ?. -% O Lake <br />APPLICANT MUST MNUT Wrl1l THIS FORN: <br />2 COPIES OF PLANS DRAM TO SCALE, A CERTIFICATE OF <br />SURVEY OF THE LOP, AND THE PLAN REVIEW FEE. <br />-The undersigned hereby makes application for a build- <br />ing permit for the work described, agrees to do all <br />work in strict accordance with the ordinances of the <br />City of Orono and rulings of the State Building Code <br />Division, and declares that all facts and represen- <br />tations stat herein are true and correct. <br />SfgWature <br />Aft 4W tj-_77 <br />Piu� - wda11-I- iWA �� <br />