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. <br /> Total Fee: S_ ��_______�,__ Date Received: _____,_�_ <br /> �ntered By: Pernt��t#: ^ <br /> CITY 4F URONU - BUILDING PERMI'i' APPLI�A?70N <br /> AI1 informatfod enast be�ubmitted in fuil before p�s�n rev�ew wilt be start+�d. <br /> (ipt�ase prdnt all ireforrnatlr�rr) <br /> T�IE APPLICAI�T IS: (cJrcle o►te) �WNER R C()N'l�2ACTOR <br /> ,TOD SITE ADDRE�S: ` �`` �„�-����.�,_ ZIP. „'��� <br /> Will this be a Arade of Homes,Re�nodelecR 5howcasQ Hame or ot#�er Display Ha�me? <br /> ❑Yea �No if yes,a s�ecPal evP.nf/�ermit is required with PGlice Depor�menr and C:fty CouncJl apprnvo! <br /> 60 days prior�to the event. S6�uule hu.s aervfce wi!!be regutred unless app!lcar►t demonstrca�es <br /> su�cient on-site parking ts avarlable, l�`nn-permitted evertts will rtvt hg aldowed <br /> NAME OF QWNER: C%�,��t� �T N��`�,7,�,�-� PHCINE: (hornc) �'7 �;/,j��'7� <br /> (worlc)C./�,z/� -.Sr�/�/C/ <br /> MA�LING AUBR.ESS: �L, �7 �� �i; < <_��CITY: "�t `; ZTP: ' -�.. <br /> CnNTRACTOR• �� �;�{�c.;v PHONE• <br /> CONTACT PERSOI�: _ �0�3ILE/�AGER: ,_„r, <br /> MAIi�ING ADARESS; ��,�____ _______, CI1'X: .ZIP: _ <br /> STATE I,I(',EN9E: # EXPIRA`�'IUl�IDATE; <br /> A.RCHITECT/E1'�GIN�F:R. Fi�+(�NE: _ <br /> MAILING ADDItESS; CI°�"i'; 7.�LP: �,. <br /> NAME: � RECISTRA'I'IQl'�1: # ____,� <br /> TYPE OF WC1�2K: 2�3ew Home Addition AcGessary Structure _ <br /> Ivlc�ve Home � Rernc.�el/Alt�ration(ie: Siding, Wi�dows) �__ <br /> An.}r eaxth movem�rt tnay rec,�i�re MCWD review and permiLs t <br /> P OPOSED WOR�(desct�b�en detail}:,��.�/,ac ' /- �i^�i�r� �'>c���� /i ��� <br /> � ����......�_���c���i u�7 ��� �71�1' ._..�.3��., <br /> SYCOI�IES: SQ.FEET 1��'FAC.H[FL�OR: <br /> 1�t0.UF B��RO(?MS: GARAGE ST��LS: �TT�C.HEI) D�TACH�iD� <br /> ���1 <br /> ESTIN�►TED CONSTRUCTIUN VALUA'Y'ION(�acc�udt�e�l��d); $��C�- <br /> I hereby apply fc►r a buitding permit and T s.�cknowiedge that the i�sfo��mation�bave is complete ar�d accurate; <br /> that ihe wc�r�c w�ll be in uanforxna.n:.e witPt the ardinances anci eodes af the City and with the State Building <br /> Cods;that I unclers#a.nd this is not a pem�it and w�rk is�ot to sta.rt without a�rntrt;and that the�.vark wzil t►e <br /> in acc:ordaiace wiih the appmved plan. � <br /> .� ,�',^ �� <br /> A�'PI.IGAN'["$SIGr1AT'�Jl�: �f ��� � ' x}.!�'I�': � �� c.�� <br /> � <br /> 3t <br />