HomeMy WebLinkAbout2005 permit application - application cancelled 62/14I2e05 07:29 952-894-9287 MINN PROD PAGE 01
Feh,l4rZo05 09:19am Fron-CITY OF ORONO �9522494616 T-58T P,001/002 F-�73
���y ���� pStC�CCBfVC(�: 1� Li j
Tota]�ee: S „ iY�. %
Entered By; � pgjC1°"� � - ��--
cYT� oF a�oNo- Rir�.�Ilv'�PERN.�[T A,PPL�C�TiO'N
All faformatfon rnust be submitted in full before plan review will be started. �
(pl�eas��rinE alt rn}'ormatidn)
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T� �yl,�,�;�j'�Xg: {circre ar�e) ovv�r�n o C�NTitACTOR
�08 sz�c�,�w��ss: ��C�C� � � ,.,._ .... ztp: SS�`� 1
c�:�C
V�i��tbis be a Parac�e of Homes,Remodelers Shawa�se iiot�ae or other Display Hame? `
❑ Yes �No If yes, a speciad�vent pet�mit is required wirh�odt'ee DeparimenC a
Council approva160 days prior ra th�e event. Non permarted eue�t.s 'Zl not
be allowed. ,
n -��o
�- Le�c�� � �7 3
N'� A�C�WI�TTR: �K � P��NE: (home) �J
(work)
MAIt,ING ADDRESS: �(o�v �� �'� 1S�C: z� ZIP: �53 a
,
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C01v'�RACTOR; �- �'�5� v►.� 5 i PY�i��+1 : ` -�'i,-�_� . '�
coi+rr�iC�k�RSON: �.c� � .r� BYLE/P�GE1�
M�iYLx�TG ADDR.ES�': � 1 �1 � CYTY: � rsnS�,` � P P: S�'33 ,
STATE LxCENSE: #� �G1 � " "�
1
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�tC�i3�'ECTIENG�N�TR P�4IWE:
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M�.ILrNG�DDR.ESS: CTTY: _; r� . �
lY,A.ME: REGiSTR.ATTQN# 1 ,
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TYPE OF WnRIC.: ]�ew Accessory St�ivctu ..__
�#.dditiun Mov� �;
emo Aiter�t�on ' ;a��� Land Alteratlolt'
�RaPOSFD VVORK(descrihe in detai�: Q - '� �nQ
sro��s: s�. ��� o��Acs�.00R:
NO� OF BEDROOMS: (�AR.A�G� ST.ALLS: ATT. D�'�.
ESTIMA'�'ED CONSTRUC!'LUN'VALUATIOIY�exclu�ding Iand): � � 1 � �c�a- S�
�-
I hcroby 4pply for a buil�irag pes�srut and I aolmowleA�e r'hat.the information above is cozrIDlete 8nd a�curAie;'tla�t the
wark will be in carjfotmance wich the c�dinances and codes of the cy a�d with the 5r�te Bui]di�,g Code; that I
undersrand't7��is aot a permit and work i�natto s�art withQut a p ' and�at�e work wiil be in accordance v�n�h
the approved plaa. �
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.A�PP�,ICAiV'T'S 9IC�NATU�; DA'�E!
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