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�t� -,1.tis.r . : � . .'� . " � ..:K� - _ - . . <br /> s'" f �g.. ' ,^ <br /> . .-. �: ��..,�"" .. '�. -.�_� - ,. <br /> ,�;�..,x � . . ... ..: . . . ..... .� _,�.�. . , � : ' x '�'� '_; � - <br /> zi ...; _ ' . ,. � . .. . _' <br /> _ . �1 ril"'E' <br /> ��.�t_�� � �-. � �`��1 <br /> . <br /> � � ���`^��� t'f;��, ,� �`� � ��� � �� U <br /> a �7 `� t/�,� � �, i'/ <br /> �� � )`' ' <br /> CITY OF ORORO - BUILDING PSHl�lZT APPLICAT�ON <br /> Tot�t�,. `�'a+�s S �JI � � ` Date Received:, `�-IC�-�06 3 <br /> �' Date Approved: <br /> � � : � � �� I.fVI,- � �j ��_� <br /> m�ez� �.y: ��� ��< � � � <br /> � � Permit$: � (;� � � <br /> l,$L T�?IOA MDST BB SOSAITrED IM FQLL Bffi�ORE PLAN RRVIEW �iILL BS STARTEO <br /> {See� Check-aff List Enclosed) <br /> ?BB aPPLIC�INT IS: (circle one) WIdER �r CDNTR.ACTOR <br /> JOiB -8I?S ADDRFSSs ( � / � C..Wccc� _�. ZIPt ��� � � <br /> c <br /> (work) ySl-��/S"o /6s: <br /> = �1Ai� OF 01�i�: �c/1 i� !"�O j�l'ti �c� 1� PHOI�TS: (horne)7 S:�-��y'- O 1(05 <br /> � <br /> } !�lAILI1�G �DDRRSS:`7� �y.�,t(rwd��t Q�, c=�r:Q�a�� sip: SS3�� <br /> CaPTR,ACTOR: PHONE: <br /> : l�tlillZ�IriG AUDRBSS: CITYs ZIP: <br /> $TBTS LIC�SB: � <br /> AR�TSCT/SNGINSBR: �/� PHONE: <br /> !lAILING �DDR$S3: CITY: ZZF: <br /> a�gs RSGISTRATIOP � <br /> S'YP$ OF WOR1�: Dlew Additian Accessory 5tructure Move <br /> Dezao Rem�e1/Alteratian Renovate Land lteration <br /> PROP�S$D i�ORR (describe in detail) : `�� (-� ��� C� <br /> �- <br /> $TORIBS: I SQ. FEST OF BACS FLOOR: / ( F� C� <br /> �10. OP BBDROOl15:�_ GARAGE STALI.S: ATT. DET.�. <br /> � <br /> BSt2�lA3'8D CO1qSTRIICTIOI�f Y�LIIAMON (ezclndi.ng land) : $ �� fi�•o� <br /> I hereby apply for a building perniit and I acknowledqe that the infvrmation <br /> abave fs camplete an� acaurate= that the Nork will b� ia conformance with the <br /> er8iaances and codes of the City and with the State Buildinq Gade; that I <br /> '�aderstand this is not a permit and work is not to etart without a permit; and <br /> ;. <br /> t2iat the work wi11 be in accordance with the approaed plan. . <br /> EP'P�IC1�1�T'S SIGAATQRt�s DATB: � � Q� <br /> • . .� <br />