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� -. , <br /> r RECEIYE�3 <br /> JAN 2 9 2008 <br /> '�'otal Fec: $ �Z�g,�o� �ate 12eceived.��L��� <br /> . �� �>��� oNo <br /> Entered I3y: 1'ei•r��it#; � r a r <br /> CITY OF ORONO - l3UIL1)I1`�1G 1'EIZMa.'[' API"I.I�n.'TIO]�T <br /> All information niust be submitted in iull befoa�� plan �-eview will i�e sta�•ted. � <br /> (please pf•int all i�rf'or�m��tiofi) <br /> ---------------------------------------------------------------------------�---------------------------..----�---------------- <br /> �'HL APPLICANT IS: (circle one) OWNER Ol��t COl°�'T1tA+CTOR <br /> � <br /> JOS SITE ADDRESS: ����__ IIF: __�.�"_�� <br /> i �, � � <br /> Will this be a Parade of H m s�emodeler��Shor`vca�s�e'Fio�ne oi• oi��- 'splay i��m? <br /> ❑ yeS ❑ NO If��es, c�special event permit is reytti�•ecf ti�-it/�Policc Department and City Coau�cil approval <br /> 60 d«>>s prior to the event. Shuttle btrs sen%ice ivill be regt�irec�uuless�y�plica�at denzo�astrates <br /> strfficient on-sife parl�ing is avc�ilcrble. Non-perrrtitte«'events��vi not l�c allotived. <br /> . I <br /> NA.I��I�OT OVVNER: �� �eJ�e. �)�py�p�n LL _ �'�Il4�14`�: (l�c�e)--���3� <br /> �/r�- �(�)_`�__-,�cs3 <br /> MAILING ADDItESS: ���;A'.l'�'e _��_ ZIi': _ �s-�S-� <br /> 9�z-y�7�- vv�Z ��e <br /> C01`d'T�CTOR: � �J� � - --:-� l'1=IONd�,: ��-. ,-�,,�� <br /> CONTA�'['PI;RSON: iVI0I3IL1�/1' Gk.id: �����4��i6� <br /> MAILINGADDRCSS: �,,,� ,4.l��Jr ' ?II': <br /> STATE LICENS�: # ����(�(�5!_(� k;X�'I���1'ION I��4."1'�? ___���7� <br /> ARCHITCC'�'/ENGINLER: UG �r�' __PI Y�NL,: ����:s� �a�y� <br /> n�A��,ING�DD]��SS: G ;,���_��r�'�I, S�� :��P: �v��- <br /> NAM]C: ��,.,�.G�,�� --�CG1�T�'� ON: # _ <br /> T'YPE O� WORK: New � Additioil ;�.ccessory Structure <br /> Move Hoine Keii�odeJ./�llteratio�l <br /> —� � <br /> PIZOk'OS�D WORK(rlescribe i�i detail�:_��— �����--�c..c�,., l <br /> ��o���s: ,Z��Cco,� ��.������������r�.�����o_.����`'�—�j vq-�v - <br /> N�. �1' ������1�111J. � �CTl��l:i ��C2�J1�JU'e �JL�,��L.��FLJiJ� ^ HYIL'�rI,��YY��_ <br /> _`�— <br /> �STI10'IAT'�lA C01�1ST��JC�A��Iv VAL�JA���i�1 (a��c�t��lan�;���c�): � �'�� � <br /> I hereby apply for a builciing permit and I acknowled re that the irifoniiatioii ab �e is complete ai�id accut ate; <br /> t1�at the work will be in conformance,with the or �iane s and codes oi tl�e �'�ty�a��id with the State 13uildinb <br /> Code;that I understand this is not a��ermit an ork is ot , ar �� ut• pennit; and that the wori<wi Il be <br /> in accordance �vith the approved plau. <br /> AP�'LICANT'S SIGNATURk:: L�fi�I'�: <br /> 31 <br />