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62/14I2e05 07:29 952-894-9287 MINN PROD PAGE 01 <br /> Feh,l4rZo05 09:19am Fron-CITY OF ORONO �9522494616 T-58T P,001/002 F-�73 <br /> ���y ���� pStC�CCBfVC(�: 1� Li j <br /> Tota]�ee: S „ iY�. % <br /> Entered By; � pgjC1°"� � - ��-- <br /> cYT� oF a�oNo- Rir�.�Ilv'�PERN.�[T A,PPL�C�TiO'N <br /> All faformatfon rnust be submitted in full before plan review will be started. � <br /> (pl�eas��rinE alt rn}'ormatidn) <br /> ----�- -------� --..�_ ----�----_.,�^_--- ___....r�.,........,.........� <br /> T� �yl,�,�;�j'�Xg: {circre ar�e) ovv�r�n o C�NTitACTOR <br /> �08 sz�c�,�w��ss: ��C�C� � � ,.,._ .... ztp: SS�`� 1 <br /> c�:�C <br /> V�i��tbis be a Parac�e of Homes,Remodelers Shawa�se iiot�ae or other Display Hame? ` <br /> ❑ Yes �No If yes, a speciad�vent pet�mit is required wirh�odt'ee DeparimenC a <br /> Council approva160 days prior ra th�e event. Non permarted eue�t.s 'Zl not <br /> be allowed. , <br /> n -��o <br /> �- Le�c�� � �7 3 <br /> N'� A�C�WI�TTR: �K � P��NE: (home) �J <br /> (work) <br /> MAIt,ING ADDRESS: �(o�v �� �'� 1S�C: z� ZIP: �53 a <br /> , <br /> � ; <br /> . � ( <br /> C01v'�RACTOR; �- �'�5� v►.� 5 i PY�i��+1 : ` -�'i,-�_� . '� <br /> coi+rr�iC�k�RSON: �.c� � .r� BYLE/P�GE1� <br /> M�iYLx�TG ADDR.ES�': � 1 �1 � CYTY: � rsnS�,` � P P: S�'33 , <br /> STATE LxCENSE: #� �G1 � " "� <br /> 1 <br /> � � i <br /> �tC�i3�'ECTIENG�N�TR P�4IWE: <br /> �� � <br /> M�.ILrNG�DDR.ESS: CTTY: _; r� . � <br /> lY,A.ME: REGiSTR.ATTQN# 1 , <br /> _�. <br /> .;\� \ <br /> TYPE OF WnRIC.: ]�ew Accessory St�ivctu ..__ <br /> �#.dditiun Mov� �; <br /> emo Aiter�t�on ' ;a��� Land Alteratlolt' <br /> �RaPOSFD VVORK(descrihe in detai�: Q - '� �nQ <br /> sro��s: s�. ��� o��Acs�.00R: <br /> NO� OF BEDROOMS: (�AR.A�G� ST.ALLS: ATT. D�'�. <br /> ESTIMA'�'ED CONSTRUC!'LUN'VALUATIOIY�exclu�ding Iand): � � 1 � �c�a- S� <br /> �- <br /> I hcroby 4pply for a buil�irag pes�srut and I aolmowleA�e r'hat.the information above is cozrIDlete 8nd a�curAie;'tla�t the <br /> wark will be in carjfotmance wich the c�dinances and codes of the cy a�d with the 5r�te Bui]di�,g Code; that I <br /> undersrand't7��is aot a permit and work i�natto s�art withQut a p ' and�at�e work wiil be in accordance v�n�h <br /> the approved plaa. � <br /> _... � I � �S <br /> .A�PP�,ICAiV'T'S 9IC�NATU�; DA'�E! <br /> � _.�. <br />