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���%11i95 13:31 THE C I T`r' OF OF'�or�o b12-47'-^35� GtC�" <br /> '� , . <br /> • CZTY 4F ORONQ - BII�Llajz?� p,,�rT ApPLICATIaN <br /> ,� ���. / J Date �teceived: <br /> Total Fee: 5 _— <br /> pate Ap�rcved: <br /> �:ntered ay: - �"�`,�. --- - r/� .+,(�n <br /> �. �`t .oi-�JJ.. ., n -� <br /> r�►�G c�Permi t�: f -� � <br /> I <br /> ALL TNPO�ATION MDST B$ S�DSM�TTED IN YUY.L 8�'ORE Pz,AN R��V'�EW WII.L B$ START� <br /> tSee Crieck-of� List �nclossd} <br /> TSE APPLaG4NTY�S:~~(circle ane) OwNER or CONTRACTOR <br /> � t 291-:a�zz.�.. ;�r�;_�,��i, z�Pa 55323 <br /> .�os sirE �wnxsss: _ <br /> (wcrk3 <br /> NAI�E OF OF1xER: t�'�VIid CURL�;Y pgp�:; (nome) �7�-`�9�31 <br /> rsn�Larrc �,np�ss- '2gt-.����z �i� ����.�c�:L�� crmx: uy;,��v�� z�r: 5532-� <br /> ` � _�,i�.,v �` �' ��" <br /> CON'2'RAC'!`ORS _; � n ��i� ,.��tU�„'ilul'1 CUI� l'��Vl PiiONS: 920- : '��3 � <br /> �LTNG ADDR$sss`�301 -:;I�s�i;�aY aL`�r�.�1 CI�'Xs :tiiF�.: Z�P: 554�1� <br /> STA3� LICLDTSE: � �'�2 jC� <br /> �RCSI�ECT/ENGxNEER: P�i�NE- <br /> ."+SASLI?7G ADD�CEaS: CITX: Z=P a�...__�.. <br /> N��,+Ig� REGI STRAT�ON � <br /> TygE (IF y,TpR�C� New X� Addition Accessory S�ructure !�o��e <br /> Demo Re.mo�e�/Alteratian Renovate Land Altergtfon <br /> .....—. <br /> PR�POSED �OAlS (describe �n detail.7 : �vi�i;i`i.iL,;`:.' �J� u ��n2�F <br /> STO�t.I$5:�,_,,,,, SQ. ,�'S'�T {�F L�ACS FLOOR: 51 b <br /> No_ OF B�ROOMS: �G� STAI�LS e AT'!'. DET. ���� <br /> �T�►s� caNs�uc���x VAY.�AT�ON (�Gsu�.ny lana l : $ ��50 .�o <br /> � <br /> r hereby app�.Y Por a b�2i.Zdfng permit and T acknc�wiedge thati the information <br /> above is com�lete and a�curate; t3:a� tihe work wi,zl be in canfvrm�nae with �he <br /> ordinances and codes at the City and with the State Building Cade; that � <br /> unde�at�nd t�f.s �.s no� a permit and sa�oric is nat to s�azt withou� a perm3.t; aand <br /> that �he wark will be in accorQance �ait2z the approved plan, <br /> ;, <br /> . � <br /> � <br /> APPLIC'.AN�'S SZG�JA'Y'IIltEs y rY+ � � DR'P'Es � � �- �,� <br />