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�-�1-2Q�Z 10:02am From-CITY OF ORONO �� ' +9522494616 T-587 P.006/�O7 F-D98 <br /> � � � <br /> 1� � � <br /> ` �'Ok�:i'eG: $ �'� i <br /> , �^�itL��CE1Ved: 2� � /c: Z <br /> E�a By: i� �� , ,,�c� a ��� P��c�: �; �-�s� -�� <br /> C�TY OF t1RON4 � B�}II,llIl�TG 1'E�T APPLICATION <br /> AII iaformation must be subm�tted �t fuli befare p�an review wili t�e stsrted, <br /> (please pr��1t all information) � <br /> - -----�---- - ___�._ <br /> THE APP�CANT LS: (circle one) UWN�R. U CON'TRACTOR <br /> ros SrrE A,nD�ss: ?C,a j- �Y1U��e �4 �, . � l�� , z�: <br /> Na� oF ovvxER: �€�� e ���;� S�; ,� pxorrE• �,om�}9�i-��-���� <br /> (work) . <br /> MEa�.rv��nn�ss:�6�:�-r� i� ��d � ��. crrX: � r�_�•�,. z�: <br /> � <br /> cor�rxacTOR:' S=-��-�.�.� + ��r��.������ psor��s� . �� -����:-��-�I� <br /> co��cT rERso�v_ ; � �. Mo$��.����� -�E -� �� � <br /> MA�GING ADDRESS; '����- -i�a�,.�,� ,.,�;�t � CrT'Y• � <br /> . l��.,�'�I-,�.�-�� ZI�':���( <br /> STA3'E LYCENSE: #�„���,�� ` <br /> � ��c�e�r�v���,: �'����:-I�� `� . s+�,���:� ��or�`��� -�1 ��- i s�z�, <br /> MAILI�TG ADDRESS: � 3 S`�.-✓�;,�n.� ;� �j\v� CITY: �e'�> (���.�,.� ZIP: SS�" -- <br /> NAME: REGISTRATION� � ! <br /> T'YPE O�' V�ORK: New Additioa Accessory Structure `�/ <br /> Move R�modeUAlcerativn�_ T.a.ad Alteration ` � <br /> PROpOSED W4RK(describe in detail}; ���c� �N _ <br /> _ t /.`S�fi <br /> _ � <br /> STORI�S: SQ.FE�T O�EACH�QOR: �/� <br /> N4. 4F BEDROGI�IS: GAR�G�STALLS: ATT. D�"I', <br /> 2-c�v..000 ��� �C�� � <br /> EST�T'FD C4NS�`RUCTIp,1V YAI.YTAT�ON (escI�ding land):� � �, � , „_ � <br /> I hereb a I for a buiId' <br /> Y PP Y uig pertnit and I ackn�wledge that the inforrnation above is complece a�td \ <br /> �curate; that the wprk will be iu�onformanc� with the ordi�uan,ces and codes of the City ar�d with <br /> the Stace $ui�ding Code; thai I understand this; is not a permit and work is not to start tvithout a <br /> permit; zt�d EhaL t�e work vcri�l be in accordan�.e with the approved plan. <br /> A►�"�Y.�CANT'S SIGNATURE: �''=��" DAT�• 02 C� <br /> NOTE! P�z�ade n I��mec events require separute perm�t approval by Pot�ce Dep�tmertt ar�d <br /> �'ity Cau�cil 60 days prior to the ev�n� �on permitted e�er�ts witt r�ot be allowed. <br /> S <br />