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03/29/2066 16:59 952-935-9544 MINNESOTA RUSCO PAGE 92/92 <br /> . ,.,..� � <br /> ' /`�a . 7`S� ?�•os° Date Received: 3-Z�1—� <br /> Total Fee: $ 3 q� <br /> pernnit#: <br /> • Emtered By: <br /> CITX OF ORONO � BUYLD�NG PE�T t�PPLYCA'TI4N <br /> AlI i�.formation must be submxtted in� full be�ore plan review will be started. <br /> (please print all information) � <br /> -------------- CTO <br /> T� AppI,YCANT IS r (circle one) OVirNEl2 O CONTRA <br /> ,�- �j Zr�; "��5� <br /> JOE SI�E ADDRESS: J� � <br /> ^ PH:.ONE: (home} 9SZ' y7������ <br /> 1�TAME OF OWNER: � work} <br /> f �� <br /> �� `` CITY: � �IP:_ S��P <br /> 11�IAII�YNG ADDRESS: . <br /> M � � . Pxorr�:..q5 � 9v5��f21�� <br /> CONTR.ACTOR: f� � �O�II,E/p,�G�R: (�/2• 2S0� g0o5 <br /> C4N�'�ACT PERSON: �Q � ; lp; �'� <br /> M,AIY.ING ADXfRESS: 55�8 ++�ar � �u2� CITX: <br /> 5TATE LICEN5E: # /73 <br /> ARCHTTEC'X'/ENGINEER: PHONE: . <br /> c�r�: z�:` <br /> 1VIAILTNG A.DDRESS: ItEGTSTRA'I'XON# <br /> NAN1E: <br /> A,ddition A.ccessory Structure <br /> T�� ��W��" NeW Land�lteration ..�—�' <br /> �o�,� RemodeUAlteratzon, , <br /> PROPOSED WORI�(describe in detai�: <br /> � g �j� � <br /> o - � <br /> , <br /> ST4RYES: �` SQ•�ET OF EAC�FLOOR: ' <br /> NO. OF BEDRQOMS: GARAGE STALLS: AxT. DET. <br /> f aa <br /> ESTIlVIATED CONSTRUCTXON'V�I.,YTATI�N (e�cluding Yan�): � �/� � <br /> I he�eby ap�ly for a bui�ding permit an.d I acknowledge that the inforrnation above is complete ar�d <br /> accu�ate; that the work will be in eonfomaanee with the oxdinances and codes of the CitY and with <br /> the State Building Code; that I un,derstand this �s not a permit �nd vvork is not to start �withouC a <br /> P��1t, and that the work wi11.be in acc rdance 'with the approved plan. <br /> APp�ICANT'S SXGNA�TURE: <br /> i - 1/� D��: �z9 0 <br /> NOTE! Par e f ffo� events reQ 're separate permit approval by Police Department�Qnd <br /> Cit� Cor�ncil 60 ddys prior to the event. Non permitted events will not be allawed. <br /> 5 <br />