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_ 1�i18i9�1 16:25 THE CITY OF OP.ONO 612-473-7357 pp2 <br /> ` CITY OF ORONO - BUZLDING p�IT APPLiC1�TIOH <br /> 1 , <br /> ��''� - � � Date Received: !�' �� ' �� — <br /> Total Fee: $ � <br /> Date Approved : <br /> C � <br /> Entered By: l - p��it�: /� I 7 J <br /> ALL INk�ORMATIOP MQST BS SIIBMITTED IN PiJLI+ BP.E'ORE PLAN REVIL'W WII'I' BB STI�RTED <br /> (See Check-off List Enclosed) __�____�_^__^r_�__^_____ __ <br /> T�E AppLICANT I5:^ (circie one) OWN^ or CONTRACT <br /> JOS SITE ADDRSSSs ;_> �� /���- f `J�"/�e � f ZIP: <br /> (work) <br /> T��PJY r_If�rtJ C0�.3F'APIY 1 PHONE: (home) <br /> NAME OF OWNER: - ,.�� - <br /> PLYMUUI'H� MN 55443' CZTY: ZZP:_ <br /> I+�I►IZZNG 1fDDRESS s ' <br /> PHONE: SS�' O.z S / <br /> CONTR.ACTOR: ,:� , . � <br /> a�c� Ci.r�i:3t un� L,a;:� CI�: zIP: <br /> MAILING ADDRSSS: Pt YF9cvuta �N ��^,-,.;.— <br /> STATL' LZGF.NSg s # �� � Q <br /> PHONE: <br /> AItCHITECT/SNG=NEER: <br /> CITY: ZIP: <br /> MAILING ADD1tSS5: -- <br /> REGISTRATION � <br /> N11ME: <br /> V Addition Accessory Strncture Move � <br /> TYPE oP �PORK' NeW Land Alteration <br /> Demo Rem�l/Alteration Renovztte <br /> n,� /)� ' - <br /> PROPOSED Wo12� (describe in detail} :�1 ���"-� �`� � <br /> � <br /> .� <br /> Iv - � <br /> STORIES: � SQ- P�BT OF EAC9 �+�R:/ <br /> s� ��� �o ,�;�c� �y�� <br /> NO. OP BRDROOMS s '7 GARl1GB STAI.I�S: ATT• � AET• <br /> ESTItlA2'ED CONSTROCTION VALUA�ION (e.zcludinq Iand) : S '���/���' �� <br /> I hereby apply �or a buildinq permit and I acknowledge that the information <br /> above is complete and accurate; thaandhw th theiStatelBuiid nq Codewithathl <br /> ordinances and codes of the Ci.ty <br /> that the wo k will be in aceerdance ith t e approvedtplan £�hout a permit; and <br /> _ �;L ���Ul� DA�: %�.�-��/�`� � <br /> �PlI,ZC2lNT'3 SIGNATURB s� �, <br />