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� f C.: ��j -�;I <br /> Total Fee: $__ ��" ' �� �" Date R�ceived• _ _ ____�_�_ <br /> Ent�red By: �---�-�"D 1'ermit#; r.....�/� f�`, c J �� :� ��...� <br /> ,���> ' � � �� -C1 <br /> � � <br /> t;:YT'Y OF �RONO - BITII.,DTN� PER�'JIT AP�'LICATION <br /> r1ll info�'mation must be sul�uutied in fu.]3 b�fore plan rCv'i�w �ill be sta�-ted. <br /> ' (plea.s�e p;��z:ult infvrnuttion) <br /> __ -------------- <br /> ------�_-________���-------------------------------------- ---------- <br /> T�T'E APPLTC�iN� IS: (circle one) OW1�iER 0 COI`JTRACTOR <br /> ��___��__ <br /> �U� S��'E �vnxEss. .�55 (� � SIr1._ or�.�.� z�: ----------_---�- <br /> N��YiE OF OWN�R: ���5?..fiC1.�.���.._—.__�__..�--- PHa�'�: (home)_�.:�'33� <br /> (�vork) _ <br /> .__.....---- .---- <br /> `L�.IL�G A.�I)�tESS: 01 � CITY� ZTP; <br /> ��.c�D� ..�r.�n�--._.�. . _...�_ <br /> C�ti J.��(:TOR: � �c�, PHO�I�: _ '� � ��U_ <br /> �_tx��.r-- --��_ J'�IO�T�E/PAG�R: ._ . - - - <br /> COti'TACT P��LSQ;�I. �� _ -- --- -- - <br /> ti-s�rl.���n�s:�_���;s o� .____._.._.____--c��Y: � t��--z�: �l l_� <br /> s�r��. �.icE�vs�: ��2��_�.1�3 <br /> A.}.tC.I�.T7."EGT/El'YIsLtiEEFt: �,_,._._ - --- ._i�H[��,�.: .-----....------- . _.._� <br /> �..�- - <br /> A�a,IL�1`G�.DD�2�SS: __._._—_.___._------..__ _—CY'I'Y: — ,_ .ZIP. .--- - <br /> N�ti1�: _^_ �_�..____.�._� -----REGTS'T'Ra,T'ION�._.-----,�._______- -__. <br /> T'YpE 0�' '�V4�: N�w addi�ion Accessory St�uGture..-------..___'_. <br /> Move ____� RemodellAlcezation ,� Laud Altera[ion �___ <br /> ��Y20FOS�D ti���2K (descnbe in det��in' �j��,�-..�C-x,� ---������--�-�d-�-- <br /> U__ <br /> STOI�IES: S�. F�ET OF'�ACH F�.,04Y2: ,_,,,,^------_--_ -----__.�-- <br /> NO. OF BED�t40�ZS: � G4R4GE STA�Y.LS: ATT. __ D�T.,T-_. _. . <br /> EST��I�1.T�D CO}S'T�tUCTI�N VALY.TATTON �excluding landj: $ ; �C`��J_._ <br /> I hereby apPly f�r a buildiug pemZiC and T acl�owledgc that the iaformation above is c-r�mplete �1d <br /> accurate; tha� the work will be 111 Co�.forma.nce with the ordinances and codes of�t��. Ciry ax�d with. <br /> Lhe State Building Code; that T understand this is not a perm�ic and cr,rork is noc co start without a <br /> perusit; and that th� work will be i.n accordance with the approved plan. <br /> � SIG`T<�'rCTR�: � �_ ��].1.�uL�;DaT�: _.��.��.���s-�-�-� <br /> r�PY.:ICA:\T S <br /> n'OTE! P�rade o,�F,��mes events reqt�ire separate permit approval by Yolice D p artment and <br /> City Corrncrl 60 days prior ta t he even t. 1 V o n p e r m i t t e d e v e n t s w t l l n o t �e a l l <br /> ................. <br /> T0'd 9i06'99Z �NI�0021 J�1Ia NIM1 Wki Z0=80 TO-bZ-1�0 <br />