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._ e4/08/2002 11:24 6128088846 ABC PAGE 02 <br /> I f65224ad616 1-685 P�002J00? F-61t <br /> '-'�uo-E�r20 � �I'p8�,��3efn , Fhbfi+�E��<;k.��OF OR�6N'd � <br /> � �. , �, �� ' �J�' � � � `> <br /> �' � , .M �• `� Date Received <br /> , <br /> �� , � 8 i .: <br /> �� ���� ��� � ' � 1 � ,�� �� �' Permit�: � � `f��'' - <br /> � ��������. � � <br /> C� Q ORONO - � T.�TG PEIZMIT APpY.YCATION <br /> , All infarma�on must be submitted in full before plan revlew will he started. <br /> • � (please princ��ll fr}fornjation) � <br /> � -- __------ <br /> ��__.._^ -..------------ <br /> ._-�r.� <br /> 1`F� A,PPLICArIT S: (circle ane) OWNE12 OR ONTR.ACTO <br /> � �I'TE ADD S: O'��`CV T"U lln. ��,�.�ZIP: _ � ��_�___.— <br /> J�B <br /> PSONE: �� � �' � ` <br /> K�OF O'GVNE : S� � <br /> wo�k) <br /> D S: '�-�� ��p �c.�fl� �ITY•��f1� z��� <br /> i4i�YNG AD � <br /> . . ��c� PH 1�� �0�'C��t�l <br /> CC1��ITRA�TOR. � <br /> �OIIITACT PE1� N: � w� MOBII�IPA,GER: <br /> A�.TLTNG A7�1� S: CO � � CITY:�I.(,� ZIP: <br /> �TATE LICEN #2A . <br /> �►R�HYTECT/EN Tr�TEE�L: PHONE: . <br /> �ILIN�ADD 85: CITY� �TP: <br /> N�: REGISTR.A,TION� - <br /> �yp� p�i W'�0 : New Addition Accessory Structure <br /> Mo e _,,, RemodeUAl�erauon Land Alteration <br /> � <br /> PROP�SE�A vV� (describe in detai��CQ(�.r fl C � ���' <br /> �r <br /> ST01�9: �Q.FEET�F E;ACH FLOO�.t: <br /> N�O. f�F B�I�RO M�: � GARAGE STALLS: ATT. DET. <br /> �STJMAT'�A C NSTR�JCTION'V�UA�[ON(excludiugland): $ "1 D�� <br /> I�hereby apply for buildina perm�t and I ackaowledge thaz the iaformatian above is comple�e and <br /> acct�,r�te; that ihe ork will be in confornoan�e with the ordinances and cades of the Ciry and with <br /> r�re State 8uilding Code; t�at I understand this is not a permit and work is n�t to start without a <br /> p�rmit; �nd rhat work w911 be in accordancz with the approved �lan. <br /> � �-- - b Z <br /> A�PPLxCANT`S IGNATURE: DATE: <br /> N�T�'! � e events reQu�re separat�pe»nit approval by Police Departmenx and <br /> � Ciry Cot�ncil 60 ays priar to the event. Non pernzitted evenrs will not be allowed. <br />