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�6/��4:9� 16:26 THE C I T1�' OF URONO 612-4 I J�I�.JJ I ue�� <br /> ' � CITY QF �RQN� - $UILllING PERMIT ApPLIC�TItltrl <br /> ��,�,__.�'� Date A�saeived: <br /> To�al Fee: $ � � _ _ __ <br /> ��`�` 't`� Date Approved: <br /> En�ered By: ��. S � <br /> perm�t#: �G � <br /> i .., <br /> `J _. <br /> AI,I, IN�'O�tMATION MU$T BE SIIBMITTED IN FIILL HBFdRS PLAI� REVYEW WILL BR STARTF.� <br /> -------------------------....__�__---�-----_ _ - �=�------------------------- <br /> +I►g$ p�pp�tCpiNT IS: (circle one) �WNER, CaNTRACTO �- <br /> � , „ � � <br /> J09 SiTE ADn�ESS: ��T�-�S 1�-� l-�G-� zrP: �:� -� ���� <br /> � (work)��/-U� � 7 <br /> , ,,V � "' " � ;� �' PgbN�3 s (home)�i��"�'� � <br /> I�11NfE dF OWNER <br /> Q <br /> MAZLING AbURSSS: � ���i3 � ' .�� C�TY:�,%,�,��,' %, ZIp: ,���� / <br /> • '�^ �� ����G _�_ ---- - - PHONE:t����S� �`" <br /> CONTRACTOR. �'� <br /> > > � � - ' CITY:��� ZIP: �'' � C� <br /> MATLING ADDRESS: . l�-t�-- � � �- <br /> /`��/`� ,�� <br /> �Yp� OF wORK: Naw Adclition Accessory S�ructure Move <br /> Demo RemodeZ/Al�eration �_ Renovate Land AlterationT_ <br /> .� ` .�' � � �r; �,, > c-� -������� <br /> PROPOSED �OR1� (de�cribe ia detail) t .-C lG � <br /> , <br /> % �� ,;�� i �1_� � <br /> STORZESz SQ. FEET dF EACH FLQORs <br /> 1R0. OF $BUROdMS: GA�tAG�S SZ"AI�LSs ATT. DET. <br /> gg•i►IMATgD C�MSTRIICT�QN YALqATIQN (�xcludinq Zand} : $,�� l'� <br /> ,�.,:,/'��-..' <br /> � hereby app ly for a bui ].ding perr►�it and I acknowler]ge that the �.n£ormat�.o, <br /> above is comp lete and aacurate; �ha� the woxk w� 1 I be in c�nform�nce wi�h��h <br /> ordinancea and codes of ths City flnd with the s�a�e Buildinq Code; <br /> und�rstand triis is not a �ermit and tvork is not ta s�art without a �ermit; �n, <br /> that the work wili be in accardance with the approv�d pl.�n. <br /> . �� <br /> � <br /> ' > �,� �� <br /> � <br /> AFPLYCAIiT'S SI��►'�RS� .- � � , �i� DATS: �- <br /> �� _ . . <br /> . .. . . .. , <br /> , �pa.Q�s fi�l� aut �he revers� side a _,., � ��. <br /> . � ..,. f '�his �drm) ' ' . <br /> _. <br /> , ,; _ _ .___ . __ , <br />