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,. <br /> CITY OF ORONO '�' 61 2494616 06/13/OQ 16:02 � :p1/O2 N0:3b4 <br /> � <br /> Toesi F�c: � Date l�eived: <br /> � Eatered By: permit#: <br /> CITX (�F C��t01'�10 - 13L1] LDT�T�P�VB'f APPLYCAI'ICyN <br /> A,11�Intc�r�ation mu�att be submit� �d in rnll betore ptan review w�ll be starte�. <br /> �(p�ease, �rtnt ait t�ht�rsation) <br /> THE A,�FLYCANT IS: (circle one) UWi�T�?R O ON1'RACTOR <br /> Jos srr� ann�ss: Z�/O - -�� . -_ �: <br /> � . <br /> NA1�IE 4F OWNER: � Pi V�,�l .��t���'HONE: (hom�e) <br /> (work) <br /> �LIATLING ADn�tFSs: �'7/(O _CI,TY:��,�ZII':�So <br /> Ct��'YZtAiCtOR: i � �— �� f'le . P'soN�: �(�3� -�t 30 <br /> GONTACT P�.SON: �� �II.E/PAGER: � . <br /> 11�A�'.ING AUDR�'55:...[�.;�Z� C�� �=�� .. <br /> �TA'xE L�Y�NSE: � �q'�,,,,. <br /> AR�ffiT�CT/ENGINEER: P�301VE: <br /> �IAII.Ji�G ADDRFSS: CTTY: Z�:� <br /> NAM�: REGI3TRATION,# <br /> 'Y"YgE 4F WOR,K: New Add�tioa� Accessory Sui�c�ure � <br /> 1VY�ve �Remc ieUAlteratiop�,�C,,,,, Land.Alteradon,____�,_ <br /> P�OP4SFD VV4ILK(d�s ' fn detai : � <br /> s.Q� <br /> �'Y"OR�S: �.,,,.,. SQ.FEE 'QF�A.C�FLOOR: <br /> 1Y4. O�'BED�t441�iS: � t� ►RAGE�STALLS: A'�'. DET. <br /> i <br /> ESTTi�YA,'�"ED CONSTRtTCTIOM VA ..UA'1'XQY(�xctudin$lan�: � ���� <br /> I heraby apply for a buitd'sng ptrmit anc i acl�aladg�tbst the information above is complete and <br /> accurute; chat the wark will be m confa mance wit�t]�c ord'u�ces and codes of the City and with <br /> � the Stata Buildiag Code; ihat I unders� �this is not a pecmit and work is not to sta:t without a <br /> pecmit; and that tt�e wark will in a� :a�da�e witla the approved pian, <br /> APPLiCA►NT'S SIGN�'I'U�tE: 1'c-� DATE: (� � <br /> h'p�"Ef ,��d$.�f 1�.� rvents reS if a s e perm�t approval by Pol�ce Department and <br /> City Councll 60 da}+s prior to the eve t. aR•perm�ted events will nat be allowtd. <br />