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�iTY OF ORONO � 6122494616 OS/10/99 10:31 � :03/08 N0:210 <br /> - <br /> Tou�Fee: s c�'l�'. 7 � n��e t�ei�cd: g/ a� �7��•'� <br /> Entered By: Pet�mft N: s � o�l # 2 3 3 y <br /> . <br /> CITY UF ORONO - BUILDIl�IG PERNIIT APPLICA'TION <br /> AU 3oiormation mu�t be eubmitted tn full betore plais rcvi�v v�lU he started. <br /> {plsase print atl t�o,�notdon) <br /> �„__�� �.__�_.______ .._. <br /> 'THE APPLICAI�T IS: (ctrcle on�) OWNER 0 NTR�►CI'4 <br /> Jos SI'1'E ADDRESS: Z850 a� ��d UJa.�.l ZIP: <br /> NAME OF OWNER: �1,���5 C,�vcQcr����e.. PHONE: (hoa�e) ��3-�122 <br /> � (wodc) N 13�I 2o I <br /> rsAII.�tG Annx�s5: 28so L;�f� a��h��c crrY: �� z�• <br /> .�,�. <br /> � <br /> CVN7CRACrOR: �a n�e 2 2 00���a _ PSONE: �9�'�y910 <br /> cornc�c�r�nsoN: �.►,c���� ��.5� MOBII.E/PAGER: <br /> MAII.II�'G ADDRB�S: oo c,�. A-✓. S • CTI'Y: l��s. T•�': 55 � <br /> STA1'E LICENSE: � Z D 0/2 D � , <br /> ARCHITEC'I'lENG�TEER: PHONE: <br /> MAILING ADDRESS: C1'�'�� �'�.—.—.. <br /> NAME: �GTSTRATIO��T+l <br /> TYPE UF WORK: New Additioa,�,. Acxesaory Sttucam_ <br /> Move Remodet/Atteratioa � Land Alteration�, <br /> ._____ <br /> PI�OP05ED WORH(descrtbe tn detal�: ��n. aCL '�'✓t�2�-ot�t <br /> ST�R�S: _�______ SQ.FF.ET OF EACH�'LOOR: <br /> N0. OF BEDROQtii.S: GARAGE STALIS: A'T'I'• DET. � <br /> EST�IATED CONSTRUCTICEN VALUATION(�ccIud[ng�and}: � 7 0�D 4� <br /> I hereby apply far a buildiag germit and I acknowled�e thac the information tbove is compk�e and <br /> uxurste; thut tha work wiU be in confocmance with the ordinances and codes of the Ciry u�d with <br /> tbe State 8tsildin�Code; that I uaderstand this is twt�pernnit a�rd work is not to �tarc aitbaut a <br /> permit; utd �at th+e work wilt be in accotdat�ce wtth the approved plan. <br /> APPLICAN'T''S SIGNATC)RE: DATE: --=��---�..._ <br /> NOTE/ Par+a�Anm�s svtnls requlre sepanatt pernttt approval by Polics Dtparlmtat and <br /> G'yty Council 60 days pr�a�to tht�Yent. Non-ptrn�ted svents w�1I�tot bs allowed. <br />