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Jun. 9. 2006 5;29AM Elder Jones Permitting No. 5523 P. 2 <br /> �a� <br /> L ����� <br /> Total Fee: S o?/S. aS� DateR�eceived: �o'�oZ'b� <br /> Entered By: Permit#: _ /+v99g3 , <br /> CITY OF ORONO-BTTII.,DING PE�RMIT APPLYCATION <br /> All inionpatiom m�st be submitted in faU before plan revfew will be started. <br /> . . (please pr�nt all infor»la8on) <br /> THE APPLICANT IS: (cu cle one) OWNER OR C'�' <br /> JOB S�T�ADDRE33: �fDO LP�-� `S_��Q��' ZiP: S�'S3 � <br /> Will this b a Pa of Homes,Remodele�s Sbowcase$ome or otLer Display Home? <br /> • ❑YC3 0 If ye.e,a special eve7tt p�mtt is required with Police Dspm?nisnr a►ad Ciry Cott�ll arpprava! <br /> 60 days prior to tht evere� Shuttle bus ssrvics wiA be requ�'ed u�les,4 applicatrt demonsbates <br /> nt on-�lte paakir,g is woilablR Nwe-�r�nitted ovents wtJl not be allawed <br /> NAME OF'O'VVI�TER: ��ll�i /�GGf�tdP�iJ PHONE: (home) !z � '3SYD <br /> MAIIaINGADDRESS: 3!�O._.�'�¢ �'�: � crrY: ��� � r bs9/ <br /> z�: <br /> CONTItACTOR: ��w�BY��� PHONE: � S d�a <br /> 1920 COUNZ'Y 1tD. C WEST -� <br /> CONTAGT PERSON: P.A�GER: T yv, � GG�P tir� <br /> MA�INGADDRESS:- ROSEVII.I�E,MN 55113 �,; <br /> STA1'EL�CENSE: #_ 6S1-264-4777 � vDATE: <br /> LICENSE#20130983 <br /> ARCSLTEG"r/ENGYNEER: PHONE: � <br /> MAiLING ADDRESS: GTTY: ZIP: <br /> NAlV�: � � ' - REGISTRATION: # <br /> TYPE OF WORK: New Home Additio� Accessory Structure <br /> Mov�Home RmaodeUA�terabon(ie: Siding, indows <br /> Any earth movement �-- require MC9PD review xn pe ts! <br /> Y OPOSED WORK describein detai�:_ �� � .S(� �t',�!N�-�._ <br /> y�� � �,� j � <br /> STORIES: 3Q.FEET OF EACH FLOOR: <br /> NO.OF BEDROOM3: GAR�IGE STALLS: ATTACHE,D DETAC� <br /> � ESTIlVIATED CONSTRUCTION VALUATION(eaclnding land): $ �v�� ��' <br /> �hereby apply for a buildiag permit sad I aclmowledge that the iaformation above is complete and accurate; <br /> that the work will be in confa�mance with the ordiaaaces aud codes of the City sad with t]�e State Builcliutg <br /> Code;that I uaderstsad this is not a permit and work is na�t to start without a permit;and that the wo�k will be <br /> in accordance with the approved plan. <br /> AP'PI.dCANT'S SIGNATIJ1tE: " �'"- DATE: � d � <br /> 31 <br />