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5ep-27-2002 lO:Olam From—CITY OF ORONO +9522494516 T—�33 P.002/003 F-322 <br /> � <br /> Total Fee: $ _ Date Receiv�d: .__ �;��� <br /> . Entered By: � _ � Permit#: �� <br /> �ti <br /> CYTY (7F OR41eI0 - BIJYL,DLN� PE�.MIT A.PPLZcamI4N ,�, L:`� <br /> All information must be submitted in full before pian rev'rew w�ll be started. <br /> (pledse print all tnformatiora) <br /> J---- ---------------------------�--_�_----------------- -------------- - �.�------�_- - ---------------------- <br /> T�E APPLICA.'�1T IS: (circle or:ej OWNER O CbNTRACTOR <br /> 30B S�TE ADDIZESS: . �C1� �(�-�n�2�.'c�c� Sc:,�-�-. ZIP: ��_�_ <br /> , � <br /> NA� OF UVYNER: ���m ��1 c�2 PI�O1V�: (haxne) 1`��-� - � � �' <br /> (vvork} <br /> MA]LYNG ADD�S5: 1 7 �,��GTTY: , � " ZIP: S_,5��3�j� <br /> COl\TRACTOR: �_ - �; ��^�n S��L�-� �t�_P�OlYE: (��( oZ.-�.`��JGf I <br /> CONTACTPERSO:�• ` MOBII,E/PAGER: (cal�._�__��`��'� <br /> r <br /> MA�. .Pi IGr ADDRE+SS: --� -�� ;- /U � CYTY: C�;I��,-►-.b ,�� __ZIP: _��-I <br /> ST�l,TE L�CEN9E: � 3: �-�-����� <br /> A�i.C�TECT/ENGT\'EE�t: _ � FHUl�:: <br /> MAII�ING ADDYtF�SS: CIfiY: _ ZYP: __� <br /> NA.1V�: _J RE�ISTI2ATYON# � <br /> TYp� �� �p��: Nz�v Addition Accessory Structure <br /> Move Remodel/Alteration� Land Alter.ation <br /> PROPOSED WORK (dEscribe in detai�� _1�L�� o-�-� � ����:� C'� '�:��,��--�-..-. <br /> t� -- <br /> STORIES: SQ.�ET OF EA.CEI FLOOR: ��..�— <br /> N'O. OF BEDROOMS: �_ G��� STAI-LS: AT7. DET. <br /> ESTIMATED CONSTRUCTIQy�'�vAT10N (excluding land): �����n `� � �- <br /> I hereby apply fac•a�uilding permit and I ackaowled�;e that the inforn�tion above is complete and <br /> accurate; ihat the vuorlc will b� in conforrnance with the or�iuiar�ces at�d todes of t�ie Ciry 2nd with <br /> tha Stat� Building Cade; that I understand this is noz a pe�nit and work is not io start without a <br /> perrnit; and that the work will b� in accordance with tbe appraved �13n. <br /> APPLICANT'S SIGNATUIrE: � � � DA'I'�: �1 � Li <br /> t��J, ent cr�td <br /> ��dT�r p�-g�'�f�I�mes eyents require separate permit appraval by Police �'?sparbn <br /> City Counci160 d'ays prior to the evenC. N'on permitted events wili not be alZowed. <br />