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Jul 16 02 0z: 15p p• 1 <br /> . CiTY OF ORONO �� G� � 6122494616 08/31/99 10:23 � :0�/03 N0:429 <br /> �So �/� � �u`�/.�3 <br /> � Totai Pce: $ ��; . c \c Date Received: '? �l�- /c�� <br /> / &nrcrea�y: Per�nit#: ;-?c: � `f � �I <br /> ,c, <br /> �`��,1 ����� ' <br /> eIT'� OF QItONO - 8�,��1�TG �'E�MIT APPLICATiON <br /> � All iitf'qrmation must 6e �ubmitt�d in #�ll be�ore plan review wtll be st�rted. <br /> �lease prinr ait ��farmation) <br /> THE APPI:ICANT iS; (circle oi�e) OWN�R.QR OIrITRACTnR <br /> J�JH SITE A�D1tESS: a��(� ��11��O,c.i� .� U�O�ZIP: � r � <br /> � NAM� aF C1Wri1EIt: �',� r i '� /'i . PHONE: (homay ��—�"7-�"�//� <br /> ' MAILYiVG A.UD1tESS: ,��lU �.�-l�%�cJ �'iJf�_ C1TY: � ��) �IP; �""c' <br /> � �1�i? —_,�>��.�0 <br /> cQrrr��o�: �' : ' � , p�axE• �I�n.�-- ���l-�33� <br /> .CONTACT P'ERSON: ',.� O�TLE/PAGER: - <br /> �M�7.LIN�ADDRESS: � u�1 :e D CY'1''�: �lu� C. Z,IP: �� <br /> � ST�TE LICEI�T�E: � �,�r_�3�:�.��f , <br /> ARC�7CI�:TtE1VGINEER: PHO1V�: � <br /> 1VY�AIY;T[+IG ADDR�SS: C�TY: ZIP': <br /> NANTF�: REGISTRA'i'�1]N# <br /> , <br /> TYPE O� WORK: New Additioa Access�ry�t�wre <br /> Move RernodellAlteratiaa � Lan�! Alceratian ____r___. <br /> PA.�PUS�D WORK(dexertbe en,��tat�: „� �� S �r C�--�`i <br /> BTQRTES: SQ. F�T QF�ACH FL�R: <br /> S�1'O. OF B��ROOMS: GARACE' STALLS: ATT. DET. <br /> ESTIMATED�UN�TRUCTION VALUA7'ION (cxclud�ng land): $ " � , �� <br /> I tureby �ppiy fvr a building p��mit and I �cl�owlcdge that the informadon above is complete�nd <br /> accuratc, that the work wili 6e ia cvnGformanee with the ordinances and eflcles of tha City and with <br /> the State Building C�de; that i underscand this is n4t a permit and wurk is not ta stArt withnut a <br /> permit; and that the wo�k will be i ordancc with the app ved plan. <br /> ( / <br /> APPLICANT'� SIGNAT�SRF;: � 1..(,L,, DATEs �I(p�/�s,�, <br /> N'OT�'sl liy��qf 15Tnmes eve�ts requir�seprrr+ate pernrit approval by Pol�tce 1)epartme�tt and <br /> GYty Counctl6D days pr�inr to the eve�tt. 11�'on permitted events will rtot be allowed. <br /> 5 <br />