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PLEASE FILL OUT THE FOLLOWING INFORMATION AND YOU WILL BE DIRECTED TO THE NEXT <br />AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAL <br /> <br />97-01-14 p12:02 iN <br /> <br />TYPE OF APPLICATION <br /> UILDING I ~ AG EXEMPT BUILDING I I ELECTRICAL <br />~ DWELLING ( I BUILDIN~ DEMOLITION ~ ~ MINOR EL LABEL <br /> <br /> ~ DWELLING LABEL ; ; SITE PLAN REVIEW ~ ~ PLUMBING <br /> <br /> ~ · MANUFACTURED DWELLING ~ I SITE EVALUATION ; ~ MECHANICAL <br /> ~ ~ MANUFACTURED STORAGE ~ t SiTE EVALUATIONISEPTIC ; ~ DRIVEWAY <br /> ~ ~ PRE-FAB I I SEPTIC ; ~ INFORMATION <br /> <br />( ) <br /> <br />( ) <br /> <br />( ) <br /> <br /> am performing the work on properly I own or occupy. <br /> <br />am a registered builder or the authorized representative of a registered builder. <br />State of ?~ggn Construction.~Contractor's Board Registration # ,~ ) ~ /-7/ ~ <br />FAX# ~/~' '7~,~ ~ ~ . <br /> <br />I am the authorized representative of the property owner or contractor. <br /> <br />I will be hiring a general contractor registered with the Construction Contractors Board. <br /> <br />This application may go through a simultaneous review process where zoning, septic (if applicable) and <br />construction requirements are checked prior to issuance o[ a permit. It is the responsibility of the applicant <br />to assure that all necessary information has been provided. <br /> <br />As soon as ail requirements of the review hav~ been met, you will be notified that your permit has been <br />issued and reedy to be picked~~up. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />REV It~i$ <br /> <br /> <br />