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May, 16, 2007 2: OOPM No. 0792 P, 1 <br /> + . """ ; , . . A . : <br /> \ \\\ <br /> �\ � I <br /> Total Fee: � , , \ � Date Receiived: J l ��l �� <br /> �� c <br /> Entered By: Permit#: ,� / /L Z / <br /> CITY OF O�ONO - BUILDING PERMIT APPL.ICATION <br /> All infor�mation must be submitted in full before plan review will be started. <br /> (please print add information) <br /> THE APPLICANT I5: (circle one) OWNE R CONTRACTOR <br /> JOB SITE ADDRESS: 02 02�s ji�.� vf P� �� Z�': ��'S�� <br /> Will this be a Parac�e of Homes,Remodelers 5howcase�Tome or other Display Home? <br /> ❑ Yes �Na ,�yes,a special event permit is requi�ed with Police,Department and City Council app�oval <br /> 60 days prior to rhe event. Shu�tle bus service widl be reguired unless a,p,�lfcant demonstrates <br /> suJficient orr-site parking is available, Non permitted events will not be allowed. <br /> NAME OF OWNER: YJ{M N o Y I��� PHONE: (home) 9,�'L'�?3�Z 2��/ <br /> (work) �1�a-�28'—MzS a <br /> MATf,ING ADDRE5S: a��s L�rv�s Y�e�s G�f.� CITY: ��w ZIP: S'�'3 f'L <br /> CON RAC R: PFiONE: <br /> CONT pER50N: MOBILE/PAGER: <br /> MAII�I ADD�2ES5: CIT'Y': ZIP: <br /> STA LI NSE: # EXPIl2ATION D�1,TE; <br /> ARC . TE /ENGYNEER: PHONE: � <br /> MATT I ADDRESS: CIT'Y: ZIP: <br /> N . REGISTRAT�ON: # <br /> TYPE OF WORK: New Home Additzon Accessory Structure � <br /> Move Home Remodel/Alteratiox� (ie: Siding, Windows) <br /> PROPOSED WORK(describe in detai�: la r x/a-' ��y�v/a . : <br /> STORIES: SQ.FE�T OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VA��U'ATION(excluding land): $ � �? � G'�'b .' : <br /> I hereby apply for a building pezz�,it and I acknowledge that the infotmatiou above is complete and accurate; <br /> that the work will be in con.fottnazace wlth the ordinances and codes of the Czty azad with the State Building <br /> Code;that I understand this is not a pezmzt and work is not to start without a permit;a�n,d tk�at the work will be <br /> in accordance with the approved plan. <br /> � l <br /> APPLICANT'S SIGNATURE: DATE: dJ ��/ � 7 <br /> 31 <br />