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�� �CIT� nF n�nnin — <br />' CiTY OF ORONO <br /> � 6122494616 08/1bl99 10:38 � :07J10 No:135 <br /> Aatc Rcccivcd: �" �" ` � <br /> � `-��---- Permit�: � <br /> Tdtal Yee: $�.-}��-3`-- ---- <br /> Entexcd By� ��' <br /> CXTY O <br /> � ORONa - B�ILp�G ���T `��L'rCAT�ON <br /> tiv�muat b� Pubm�n�d �n full bePore �fan review w��� �e �ka��d' <br /> Alf lr►lo�cna (pl�ase print a1� l��►'�t:on) <br /> __�_.----_�__ ;�-"�""�."TO�t ------- ---�__., <br /> ..--------------------- -------------�circ;le orte)-- �WNER�R CONTRA�C . � ! �� <br /> T�i A�PPLICANT IS: , ���: ,_ <br /> ;-� 1, � �( �t�;� <br /> 1� � Z�I': �._ _,_,_� <br /> aoa �1� <br /> An�ax�ss: ���5 ��.,s���� �� :.�- --�� <br /> ome) '�lZ_ ��c.���-�I Z�-� <br /> l � pHONE� (h <br /> Q�p�'N'ER; �� I �f��.d 1G�-� �work) c�� � Z-" �C� -=3�s��I <br /> I+iA�V�E ;� ` c to:'� ��P� S`�� <br /> ���� vV C��� CITY: ,�ic�.�„''�,��--= <br /> MpI�.ING ADDRESS: , . <br /> -=�1nc�'r—v�-�- ``�'" c, <br /> ` � ' ;a�e5 � �c.�l� J r,�PHQNE: � l�.l 7-`(��-U a r � `�L��-S-��%'S <br /> .-- , �zr,o, No _ z - 3�z- S�I� 3 <br /> C01�3TRACTOR: �`.�` MODII,.k�IPAGER: ! �,, � ��(��)L;-u. <br /> �tsor�• ����-�� J�,z�� ,�, ;����,�_ z�": �____''—" '; r� c <br /> CON''�'ACTP�� �. :�Z � � �n.r,�-������ ��''� � GITY: �✓�------ <br /> N�A,��,'Q�IG,�DDI�S �.-``�? - <br /> S'�ATE I.ICLN�E� ���—�' <br /> PH4NE: -- <br /> ARGH��CT/ENGII�EER: �'��„�-�y��=-. �''' CITY: ��= �...�----�- <br /> MAILTN�A�UR�TSS���------�-��J�EGISTR.A'TIQN - <br /> NAME� <br /> Add�tion ______ A�es�ary ����--- <br /> TYP� 4F WQR�: New „� Land Alteration �,,... <br /> Mp�t ��� ��mpd�UAluration� <br /> � <br /> PgOPUSED WO�(describe in detai�: ..`_.._._-.--�---- ._._.-- <br /> �� �� � �� Zc,� ' <br /> � 2 S�.F��T OF EACI3�OOR��DET- _.� <br /> S'�'OR�ES• _._.-.�---- 3 GA�AGE �T <br /> NC?. QF BEDRO�M�: � UC_t��r.-- <br /> T�D CONS'I'�U�TION V���ATYdN (�cludinB land): $�..--- <br /> �xIM�► lctt a�d <br /> for a bu�lding p�����T'�� �c�owledge that chc inf.orma�ion abovc is com� Wl� <br /> I hercby apP1Y � in conf'ormancc with thc ordinances a��k a5��t�o�s art withaut a <br /> accurate; t1�t tha wock w�ll b crmit accd wo� <br /> the 5tate 1�uildin$ Code; th�t� un+dcrsCand thls 1 �° :ihc a roved plan. <br /> ' 1 bc in accdcdan�W� ; �� <br /> �e�t; a,�d that thc work w�l �.�.____� ._� �\ , t-. �:c. <br /> � DATE: <br /> APPI.�CAN'�'� S�CNATUR�� <� '. <br /> , ermtt a rovai by Poitee Departrnent and <br /> eve�ts reQu�re s�parat����d even� will not be allowed. <br /> NOTE! rior to the event• Non p � <br /> G�ty Cou►�cil 60 days A <br /> 5 <br /> , <br />