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08/18/2665 09:13 7634976592 S PAGE 01 <br /> � +g5224A4918 T-d90 P.D02/008 F-729 <br /> Au�16-ZOG6 OH:64am From-CITY OF ORONO as,D� <br /> $ <br /> Total Fae: $ �oy . D�O Daxe Rece�ival: 8- 9-D J`� <br /> Eatexed By: Permit#: <br /> cI� oF oRONo -BUII.D�NG PER,1�T APPLXCATXOl� <br /> A1l�lnformation must be sabmitted ia fuU before plan review�wiU be�tArted. <br /> (Please print al!inforniatlwn) <br /> T�C,p,��S: (cincla one) OWNER O CON�RACTOA <br /> aos srac��,na�,ss: �- . z�oP: �"".� 3S'4 <br /> VVi11 thfs be a parade of�Xomes,R�emadeleirs Showcase 8ome oR other Dlsplay Home? <br /> ❑ Yes � No C,�cil app�al 60 days,pria o�he event.r N nlpermi�events will not <br /> be allowed, <br /> NAME OFUWNER: ,�ar•�.�r ��r' ��a�•t-e PRONTt (home) �S? 74cS- � 4�5� � <br /> � (work) !�cs'r� G ��� 9�o/ <br /> MAII.ING ADDRESS: � 9 .� � �r -F o r C� C."�TTY: ,�J^o n o �p��3��o <br /> C0�1'I'RAC'�OR: l��n cfc� �� ��rs�•c T f/•-�1dr�, P�IO1vE.� ��o �� �Q�`ZQ/� <br /> CONTACT PEYLSON': S,,�..t�Q 1/ �',�-�a.� MO�SII.T/PACx��c/to�/ 7I P. S� 37 lo <br /> M,pil:LING ADDR•ESS: g 7 3 1� �. � C�1'Y: 5�, • <br /> SxATE LxCT1YSE: f! — 2 t'g_Z <br /> ARCHxTECT/ENGINEER: P$ONE: <br /> 1ViAILL�IG ADDRESS: -- - G'1'Y'"Y': ZIP: <br /> NAME= YtEGTSTF.AZZON# <br /> TYPE OF W41iK: New Accesaory Structure <br /> Ad,diHon 1Vio�e <br /> RemodcUA�lteradoa� Land Alteratiou _, <br /> PROPOSEA WORK(descr�tb�irR detail): �.�� c�o w s' � " J'c'rr n o r ��• <br /> y� �e� o�7'C r� <br /> STORY�S:�� SQ.FEET OF EACA FLOOR <br /> �TO.OF BTDRQO�VI9: GARAGE STALLS: ATT. DET. <br /> ESTYMAT�D CONSTRUC�'ION VALUAZZON(ezcluding land): $ � � O O <br /> I heroby apply for a btulding p�cr�uix and I aclmowledge that the informaflon ab�ve is completE i�d accu�t�e;that the <br /> wark w�l be in comform�►nce with the ordiflsnees �nd eedes of tl�e Ciry and with the 8tate Buildittg Cod�; tltat I <br /> �aidetsS�nd tP►is i�not a pernut and work is Aot m start without a pezra9,�aad that thc wotk wil�be in accoxdence witY� <br /> the appxnved pl�. � <br /> APPLICANT'S SIGNATU'RT: DA'I'�: ���� 6� <br />