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10/O1/2002 TUE 13;46 FAX 952 942 5791 THE �AINTENANCE TEAM INC 1�00Z/004 <br /> . SaA-30-2002 01�49pm From-CITY OF ORONO +952Zd94616 T-148 p.005/006 F-859 <br /> . <br /> Tata1 Fee; $ , `J ` l�ate Receivcd: j� /- �"`� , <br /> , - <br /> En[exed By: �c', � Pemlit#: _ , -�'c: ��, �'� <br /> _ - -� <br /> � , ,�;� i , ��. <br /> CITY O� ORONO - BLTA,DII�TC� PE�1�IIT APPx.ICATION' <br /> .A11 information must be submitted in full before plan revievv will be started. <br /> (please print ccil info�tion) • � <br /> T�E AFPLICANT YS: , (carcle one) OWNER OR CONTRACTO <br /> J08 SITE ADARESS: _/ l 2 U G Cy}r 1�7�r� /�1�ZIP:. 5`5 � g 6 <br /> NAl�'II:" OF OWN�+R: N�C C��� �� L /9 PI�ONE: (home) �S:Z- �7�' 7`I�iZ� <br /> (woz� <br /> MAILYNG ADDRE,SSs CUA' �/�/�/"� I'I'�Y': DI� r�J�� ZII'. 5-�3 S 6 <br /> cON'r�t.acZ'oR: r/y� �'"��ro�T�ti��-c�` ���orrE: �5-x- ��� - s��� <br /> . CONTACT PERSON: rr� l� �'O MOI3II,E/PAG�+7t; �9 5 z - 2 9 z - 4 z� q <br /> MAILING�ADI,IYtESS: 9'G>s' i���"��c r�/v RD C�TY: �`/J/N /'1�A/u"E ZIP: 53 3'S�� <br /> STATE LYCE1�iS�: �# 2 c���S b S 8'G <br /> AgC�iITEC�'/ENGI�IEER: PHONE: <br /> 1viAII�ING AnD�tESS: C�TY: ZIP: <br /> NAlV�: REGISTRA.T�ON# <br /> Z`ypE pF vVORY�: New Addirion Accesso�cy S�ucture <br /> Move Remodel/Altera�i,on_� Land A�tetation <br /> FROPOSED'VVORK(describe in desat�: F/tAM.�•�� 5���"fTltv c�C /-`�tC�/�cAc �u.tid,r,.G <br /> � F�.�,,��� il��.�, of Exss�l.�.c �.�s�-r�l,�.r �'S��ti�s�� ��sff+�ti� �v�s�r.J <br /> STORYES- ! SQ.FEET.OF EACTX FLUO�: � 1 � / - v c� <br /> I1t0. OF BEDROOiVIS: _Q GA1�1GE STAY.Lg: A,T'r. DET. <br /> ESTYM.�iTED CO�S'I'ktUCTTiON VALYJATION(ex�l�ding Iand): $ 2 �� �vU - �� <br /> I hezeby apgly for a build�ng permit and 1 acka�wledg�that Lhe information above is complete and <br /> accuraLc; chat [Yie work will be in confortuence with rl�e oxdinaz�ccs and codes of the City and with <br /> the State Bu,Udi�ng Code; [ha�I understand this is not a permit and work is not to stan�viLhout a <br /> pern�xt; and chac the work will be in accozdance wi e approved plan.. <br /> APP'LICAN'�''S SICNA.T'(J�tE: ���� DA'T.�: /� � / - CJ 7 <br /> NOTE! �ar��v,f�tF�events require sepa)'ate permit approval by PoticP Dep�tment and <br /> G`�ity Counc3d 60 days privr to the event_ Non permitted events will ltnt be allawed. <br /> 5 <br />