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67119/2005 69:49 6123368600 NOVUS PRINT MEDIA PAGE 01106 <br /> -� �-�1d�,�' i s do�nc� a11 �ou.a�1�- i�1 �►a�'� � D�►n� <br /> . i S b�a � id��� �- 5�r'u��i�.r-�.� <br /> l� � .�;(r 7-/q -d� <br /> Tota�Fee: $ DateRecpved: <br /> E�atered By: �',Z Pe�it#: i4D �9 7 <br /> `✓�"iy""-:� �I � "�' � ''°� <br /> CITY OF ORONO -BUILDT.�TG PERIV�T APPL�CATION <br /> All�nformation xnqst be submitted in full befoxe�lar�review w�ll be staxted. <br /> (rilease prant aZ1 information) <br /> _�_�------------ , ��1 <br /> THE,A,PPLICANT�S: (circle one) OWNER OR CONTRACTOR <br /> JOB S�TE ADDRESS: �i00 L2a F S�rt e, _zir: 5535Go <br /> Wi��tbis be a Parade of k�ome�,Remodel,e�s Sb�owcase Home ar ot�e�-Display Hvme7 <br /> ❑Yes �NO If yes,a speciai eventAver►nir rs raqx�ired with.Police Departmenr and C�ty Council a,�,prova! <br /> 60 days,�rior fo the event. Shuttle bus service will be re�uired unless applieant demonstrates <br /> � su,,�icient on-site,parking is avai(able. Non-permitled eversts will not 6e allowed. <br /> � NAME OF OWNER: I�,� �- �.1� G-e�e.in r �►n q — rxo�: (lxom.e)�CJa�-11� �1(D 3 <br /> � (work)4'�13)OCo�'q 2' <br /> MA�LING ADDRESS; f�1 �J h��'C q C�TY: WAy ZU,�'� Z�: 55 3q I <br /> � CONTRACTOR: S I�Y1�� PAO�tE:(D � �D <br /> � CONTA,CTPERSON: 1' � MOBIT.E/PAGER: <br /> � MAILING ADDRESS:�1 I��(`Y�-�d11 Y'� '1 CI1'Y: . 7�Y: `��C* <br /> � STA.TE LICENSE: # E�PIItATIO�V DATE: <br /> ARCHITECTlENGINEER: �1 Pk�ONE: � <br /> � CITY: Z�: � <br /> �VIAILING ADDRESS: <br /> N��: REGXSTRyA,TION: # � o�' <br /> C' <br /> TYPE OF WORK: New Addition� ,Accessozy Shvcture � � � <br /> � <br /> Move Hoxne � �t,emodeUAltezation �,1 � <br /> 0o h U - bu�Id�r � �o a 1 I � � <br /> PROPOSED WORK describe in detai�: � <br /> f0U h �I�l w 0 r� Ow fu�r I r�c., � � <br /> � . <br /> STORXES: , � — SQ.F�ET OF EAC�FLOOR: � �D � U�^ <br /> NO.OF BED�.200�S: GARA,GE STALLS: ,ATTA.CHED DETAC�ED_ <br /> T70N excludin lan�d : $ 5 '� � � <br /> EST�.MATED CONSTRUCTION VALU.A. ( g ) �- <br /> I hereby apply£ox a bni�divag perxnit a�oid I ac�owledge that t1�e infonm.ation above is cozxi�lete a�ud accuzate; � <br /> that tb�e work will be ixa confozznance wxth the ozdinan.ces and codes of tb,�City aud witb.t1xe St3te Building � <br /> Cod�;khat I w1derstati,d this is not a p ' �d vv k is not to stazt without a penaai.t;and tk�at the wozk will be � <br /> in accordance with t�b.e approved pl . <br /> APPLICA,�iT'S S�GNA DATE: � � O I�� �` <br /> � <br /> 3] �,f� <br />