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Feb �7 OZ 12: 53p window lite 612-391 -6360 p. l <br /> #r`, /1_l�f pY <br /> Ol <br /> CITY'OF ORONO �� � 6122494616 OS/31/99 10:23 � :01/03 N0:429 <br /> �, <br /> ��� 1'�tal Pee: $ �� �-5 5 � Daoe Received: �' 7 �':� <br /> _. ;�- ....._., <br /> 3-a � ����Y: ;� �-�..�:.� ��#: � G ��� �� . <br /> __�.�__ _ <br /> , <br /> �� �3 3 CITI'' QF 01tONt� - BU'TL�IN'G !'EI�MIT AP'PLICA�ON <br /> � A�1�tnformatinn�must be�ubmltted in tbl!before plan review wtll be starked. <br /> . � . . � . (p#etrse prlm a 1!��ir�forntatiorr) <br /> � THE AFPI:ICAI�I'f IS: (circle one) OWNEA QR CONTRACTOR <br /> Jt"�B SITE A�DRESS: � 'Jr n1, P � (y,(;h��, 7IP: �5 3 9 .!_____ <br /> �i-�.L rebst'.�her �xa�. cno�� ., <br /> � NAA� t'�F CfWNER: • <br /> � MAILxNG�DREBS: � CTI'Y: �worka • , <br /> � <br /> S�.t¢ ) , <br /> c��rrRE►c�roR. ' 3 3�l i �'3�`� <br /> ' FYiO1VE: '' <br /> Cd1rtT`.ACT P�RlSQN: � I1�IQ /P GER; - <br /> � l4�AIL�iC ADDR`�SS: CTI'X: ' Z1P: <br /> S'I',AlTE LY�ENSEt � �..� <br /> A�tC�i'1,`�+CTlENGI�NEER: PHON�: j <br /> 11�AILIATG ADDIiE6S: CLTI': ZIP: � <br /> 1�A112�: � REGISTRA'�'ION� <br /> , , <br /> TYP� OF 'VS►ORK: 1Vew Additi�a___�_ Accxs�ory�Struaduc .� <br /> � Move RemodeI/AlteratiaA Land Alteratian <br /> �Ropos��wou�cc�,����,�r�n:_�,� t,cai��a � s_/2�o�a.��l��:� . <br /> . , , <br /> . �:: <br /> BTQRTES: __r_____ SQ.F�ET t�'�:ACI��OOR: _ . � <br /> NO. O�'B�AAOt�MS: GARAaI�STALLS: A7"T. DET. � ��. <br /> , � ___.__. _._... <br /> ; . <br /> ESTitt�tATED CONSTRUCTION VALUATIDN (excludfn�la�nd): $_^����%.�, <br /> . • � <br /> . . ;hcreby apply for a buildiug panait aad I aahiowledg�tl�at t�e iaPorniadon at�ove is campla�be and � <br /> accurat�; that t�ie work w�11 be in canfonnanc� vv�th the ordinancas and c�od�s of the City a�;.d with ' <br /> ttx Sta,t� Bui�din� Cade; th�t I unciersiaad this is nat a permit and work is not to start w�t.hout a <br /> pe�mi#; amd t�ett tt� work wiIl be i accordance with the approved p1aa. <br /> APPLI�CANT'$ SIGNATUR�: Di4TEs _ o`Z— �--G',o�_, . <br /> , ,, <br /> . ..,.' � N"QT�tI �++ade q f Ho�n�s syents nqa�rs���dnatAr�ena�t ap,p�val by Poltce Dep�ar�me;w#and _.-, . _ :� <br /> GYty CQu�cll 60 days pr�ar to the vve�tt. lKon-psrmrrct�d evarrts wtll no!be allowed. . <br /> � S . <br />