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' ' ' ' ' RECEIVED <br /> JAN 2 t� 2�n� <br /> "Total Fee: $ J�g,�7. �� �atE Rece�iv�d: ��`!�j C��(OF OR(7N0 <br /> Entcrcd By: _ �'crniil#; �/��___�__ <br /> CITY OF ORONO - i3UILll►II�CC �'�:I�IVII'� �.Pl'[�I�A'1'IOI'�i <br /> All information niust bc subntitted iii i�ull befox•c; pla�x ��evi.e�v will be sta�-ted. <br /> (p[ease pri»t all i�rf'ot�j�t�ctioiz) <br /> ----------------------------------------------------------------------------------------�---------------------------------- <br /> 'THE APPLICANT IS: (ci��cle one) OWNER OIZ C..Ol'��'TIZt1.CT1Jl2 <br /> JOB SITE ADDRESS: ���������_��'_I IP: �s�� <br /> ie� at �-� .���r s�� �� �� <br /> �'il( this be a Parade of Homes, Remodelers Showc�se ��o�ne or oXlit�r isl�l y l_Ion�e? <br /> ❑ 1'CS ❑ NO IJ,r•es, a special event permit is requirecl rvtih Police Depcn�h�aent a�zd Ci1r Council np��roval <br /> GO�la��s prior to the eve�zt. Shirttle birs�.ser•vice tii�ill be re�r.�irec��mles,r applrccur!cfe�no�ast��ates� <br /> sufficie�zt o�z-site purking is avnilable. Naz��ernritted eveiats will�ot l�e allni-vecl. <br /> I�1A�ME OF OWNER: � � �'���Al��.: (�,�� —GYS� <br /> �'L�,- �� a <br /> ���� �iis� G4 ���--�'-�=�ao3 <br /> P✓IAiLING �DD�2ESS: � �;��1'Y� � �Jil': ,.5�-3S� � <br /> -��----�� <br /> C01`a1�'�.CT�R: �ly i'iiONd+�: � `�'SZ- �710-GY�32_� <br /> CONT'A�'C PERSON: __�� -��w t �1�BIh.I�/ A�G.�+,l�: ��j 2,�c�C�-��� � <br /> MAILING ADDR�SS: . ���I': <br /> STATE LICENSE: #��'�(�,����__ 7�;?��'A��'i'1(:)N I�A.T��: �/� � <br /> —�3l�`_"__"----- <br /> A.RCI�ITL+;C'1'/ENGINI,ER: e.I.��('-- --�I�UNE:���-�--S31=a �'� <br /> �AILiNG ADDI��,SS: ' _�.��V���ri'�I: �IP: �'�� � <br /> NAML: _ v� _ � L.�,/`� -----�����;�`�'�A'�# — <br /> '�'YE'E O1� WORK: New �__ Addition _ __ k4ccessory Structure ___ <br /> Move Hoine �Zeinodel/F1.lteratiot� <br /> � ' � � --��. 1,�� <br /> PlE�O�'OSEll WOIZK(desc��ibe ua detar!): /Uci. ��)��_�VL. _�� <br /> ���1\A�S.� ✓VM.`i�Vl�' `C.Y�YiYi$ �II' �i�"�..�)L�lLJ4lY��d�e _----�r��-�-�—� <br /> ��. or �����o���: 3 ����� ,��r��,���: �����.�R������_ ��������,�__ <br /> � <br /> ��T'II�A'T�I)�OI�SfI'��1C���llad���L�Jr��'��I�1(�x��ia<�Sn�➢�A�c�): �__��-(v� <br /> I hereby apply for a building permit ai�id I acknci�� ge�,that the infornlation � _ove is complete and accurate; <br /> that t1�e work will be in contonnauce with the �dinan�'es <zi�d codes of t �� City and with the State S�iilding <br /> Code; that I understand this is not a permit a d tivor � � � tv�s,�r��i �out a persnit; aitd that ihe work�vill be <br /> in accul-dancc with tlie approved plaii. � � <br /> APPLICANT'S SIGNATZJRE: ------- T��1'R�.: _ _ ` .._ �__ <br /> 31 <br />