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� ' 'r �' CITY OF ORONO - BIIIZDI2�'G PERMIT APPI,ICATION <br />� � - _, <br /> ,, �_ � Date Received: / � i <br />� Total Fee: $ ,- � - <br /> Date A�proved: ` <br />� • � <br />� Bntered Bv• ,�f;' — Per.nit� C y '1/ - _- - <br /> r <br /> t ' , <br />� AT'T• INgORMATION MIIST BS SUBMITTED IN FUL.L BEFORE PLAN REVIEW WII,� BE Sg�RTE� <br />; (See Check-off List Enclosed) ____________ <br /> �� p,ppI,ICANT SS: (circle one) O�dNER or CONT.T�.ACTOR <br /> �a.�-,O zzP: �� 3 9 <br /> JOB SITE ADDR.BSS: r�Z 8� �l �/�-SCo �C�f�t/'7" S�Zz-Co�P�J7 <br /> (work) _ <br /> NAME OF / <br /> OWNP.Rs � 2 � C-S�� PHONE: (home) �{`�/ �-C��v � <br /> l� ,��,1 cz�: G(./�S�L��-_ zzP: '�53� / <br /> hiATI,ING ADDRESS:��`?�1 �'�SC� o«r <br /> J �. PsorrE: <br /> CONTRACTOR= C" <br /> ��: ZIP: <br /> MAT�ING ADDRESS: S �� �`- <br /> ST�TE LIC.��'`7SE: � <br /> ARCHITECT/ENGIN�ER: b <br /> l� - PHa�: <br /> CZTY: ZIP: <br /> MASLING ADDR.ESS: <br /> R.EGIS�RATION z <br /> x�= <br /> Accessory Structure Move <br /> �PE oF �.;�gg: Ne�,,� Addition Land Alteration <br /> Re.*nodel/Alteration Renovate , <br /> De�o 1-�.r�� �_ <br /> — j—.�•v�.�- Gc/�r-��« <br /> PROPOS?D WORR (desczibe in detail) z ��^��v � r'�-�z� <br /> � L-S <br /> CG e.S�S � � <br /> STORSESs SQ. FF•ET OF EgC$ ��R= <br /> NO. OF BEDROOMS: <br /> ���� STA7,7•g: ATT. DET. <br /> . $� �� � <br /> EST2.MA�F.D CDNSTRIICTION VALIIATION (excludinq <br /> land 1 : OOQ. <br /> I hereby app Zy f or a bui lding p <br /> ermit and I ac?tnowl.enge that the information <br /> above is complete and accurate; that the work will. be in conform C ae With t e <br /> ordinances an d co des o f t h e C i t y and with the State Building e�it; and <br /> un ders ta n d t h is is not a permit and work is not to start wi t hou t a p <br /> that the work will be in accordance with the aporo v e d p l a a. • . <br /> � DA�: 9'-�� ` -�'J`�_ <br /> APPLICANT'S S _ <br /> � <br />