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, 08/24/94 09:51 THE CITY OF ORON� 612-473-7357 002 <br /> !'. <br /> �° CI'I'Y OF OR�NO -- �l7xLDYNf3 pEltl'iTT .�„PpI�zCA2`ION <br /> I.' t <br /> I' <br /> ' Total Fee: $��0�-� � Dat� R��eiv�ed: <br /> ' Date� A�arove�: ` <br /> � Ente��d a�S a/�L' � � <br /> "—•..—" � Permit�: �.�lJ� � . <br /> ' • r� <br /> : AT,?� INFO�TIUN ML�ST �g SIISMITTLD ZN �L BEFORE PI�,N I2.EVIL'W �PII�. ]�S 5�R� <br /> (See C:�eck-of� Li.st Encl.osed) • <br /> �r�����r�r������rw�.-____....-..�..������..��__^ ��� , � ����.._���������rww�ww������ <br /> T� 1�p��zC�IN�" I5: (�zx'a�e nne j Of�TN�R o GONTRAGTO <br /> Joa s=� �nDx$ss: /l35 1l�On7�/� �i�Pr� �R zx�►: 553� � <br /> ' (work) <br /> NAME OF OWNI.'R• C�G��s / ����E�r�//l�s PHQNE: (home}�y7a �-�/S� <br /> -�.. <br /> MATzzxG Ann�ss:, //3 S /1/d�7`h� �R� .L�/� c=�: od�t/� r?o � zz�:� 3 . <br /> CON2'�ACTOR- �N�LC� 7~ �'.�ONE: o�l` �Q <br /> jujpT7•r�� �Dr�ss: ��f� S�NEG�/NG �E �D ci�: %�%l S __ z�: Ss�� �' <br /> s�,� �=c�vsE: A. 07ro a�7� _ <br /> I�RCBS�CT/ENGIZ7E�t: P$orrE: � <br /> AS�YIazNG ADDRESS: CxTY: 2IP- <br /> N�SE: R.EGTSTR.ATIaN 4.,, _ <br /> �YFE OF WORK: N�w Addition A��essory Structure trtave • <br /> p�to�. Iiemadel/Alteration� Renovate Land Alteration <br /> pRO�pSF.D WORK (describe �n det�i.l) : <br /> STURY�S:_�� SQ. IrEET (7F �C�T F�OOR. <br /> NO. QF BED170'�MS: C�'�FtAGE STAL�,S: ATT. DET.��„_ <br /> ESTSMATF.� CONSTRIICTION VALV�A'�ION (escZnd�.ag lsnd) s S / . lll� <br /> z hexeby �3.pply for a build�.ng perm�.'� �z�d T acicnvwiedge that th� xnfe�ma�ior� <br /> abvv� is campJ.ete and acaurate; that the wark will be ji.,u ccnfox'aiauce with the <br /> osdinances artd codes oE the Ci�y and wi�h the State� Building Cbde; that Z <br /> uride7:s�and th�s �s no� a permi� and wo�k iS not to stast w�.thotit a periuit; a=id <br /> thgt the work will be i.n accordartce with the approved pla�..___ • <br /> . LiC/�.�%Y/ DATE: y �� <br /> �P�z���s sz��vx�. <br /> �i���� $� . . . .. . . , . •:�' ..... . . <br /> .. .. ..$ .,�i�°. . . . , . . . . � � <br />