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• d6��4i9� 1�:26 THE CITY OF �RONO 612-473-?357 ��� <br /> t <br /> CI't'Y Q� �RQN4 - �tiIL�ING P�LtMIT A�'��ICATION <br /> , _ ; <br /> ,�` f-� <�� <br /> To�al Fe�: $ ��� � � _ _ nate Roceived: <br /> Date Approved: <br /> En�ered By. _ , - �,/,-- <br /> p�rm�.t#: > ; � ��� <br /> . ,JUL � 1 �,''�.;��. <br /> ALL INL+bTtMATION MDST BE SQBMITTED IN FDLL BHFOR� pY,AN REVYEw wILL BB STARTE� <br /> ------------------------------�-----�---.___...�_�� <br /> Tgg p�'1�T��CANT IS: (circle ane) QWNE12 or CdNTRACTdR <br /> s <br /> JOB $ITE ADDRESS r ���� _ � � " Z��: '�� ��,�� � <br /> � <br /> � <br /> (wark) <br /> ��- ' �"j'' - J;��jt'� <br /> � Wr�'�''�' '' '"'/� PHd�: (home) <br /> 1�AME dF f�WNER e ' - ' — -- <br /> / ' �'', ZIps� ��'� <br /> ' v�: � i „'�,i ��/ ��� '� - <br /> MAILING AbbR�SB:.__j � � ,/ `�- " CTTY:�� f i�. <br /> � , •� � � <br /> �__ , . ,� , , �/��.�/ , <br /> CONTRACTO�t: �-�-- -c�,�C..__ PHONE. <br /> MAZLING ADDRF$S:. %' <br /> � ' CITY:�j�� ZIP: .�,� % c'`� <br /> r; <br /> 7*Y�� oIr' S�toRK: N�w Adt]ition Accessory Structure Move <br /> Demo Remor3el/Alteration ��- RenQvate Land Alt�ration_�, <br /> PRdPOSED �PORR (de�cri2se ia detail) :_ � <br /> I ' � " ` ` � - - - <br /> ..: <br /> � �, ;�� , '�i� / r-.,. , /�"���,.£ %if , �r''j f �� <br /> 7 <br /> � �4-- � � y � , <br /> ' ! � <br /> / �_ <br /> � , <br /> STORIESt SQ. FEET OF EAG`H FLQQRt <br /> I�iO. OF $BbROOMS: GAItAGB STALLS: ATT. DET. <br /> - . _�� <br /> �� �„_- �,r ,� <br /> ;��- r� ,, <br /> LST'ZMATS`D CQNSTROCT�ON VALCIAT�ON (excluding land) : $ , ` -' <br /> � hereby apply for �+ bui].ding permit and I acknow7.edge that the i.n£ormati.o. <br /> abvve is comp lete and aacurate; �hat the woz}c wi 1 1. be in conform�nce wi�h��h <br /> ordinancea and codes of the City and with the S�ate �3uildinq Cod�; <br /> understan� this is not a �ermit and work is not ta start without a permit; an, <br /> that the work wi 11 be in accordance with the approved p l�n. <br /> � 1 �:� � �-} �-�� <br /> -� ���� � � �- <br /> AFPL�CAliT'S SIG�►TIdRs s � ; '��;-` . ;' . <br /> . .... .,:,... ,, <br /> . � ,..,,. (p2.eR�e fili• out tha reverse �aiQe of '�khis �arm} . . . <br /> , � _ <br /> ,..:..��..-- <br />