HomeMy WebLinkAbout2113 Stoney Pine Ct - Applications/Reroof - 10/28/2011Oct • 28. 2011 12 : 3'1'PM ADVANCED ROOFING
pla�rling, Development & irar N`o . 2228, P . 1 /1
City of _
opt Collins nJ
�S. N. Co�iege av� �.e. Bcx 580
i ✓r` Coiilns,, CJ 30-34
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,
?horn Q70.4_�-�74 _x 24-o.s�
OVER -THE' COU T ER
PERMITS ONLY
This application is fo be used ",O apply' Or `.he :oiiowing permits only -"check all d"lat apply). 0 Air "onditior(r9.
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L-i Dernoiltiion Onterior nor'-structl_ra! =lect. ical .A'1-eraiiQ^ ,
^ ry 8 i _' G ^" �
of is c ang,�) uca wig, gar L.( G2,3 _oo
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r8ai.r c Ur,:L _ ' �n Si �nic,er IJGGii„ Orla . _cla S e ,.
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J OGlr;C a.ye: in8 .. .: talc
n V tletior, c Water Fie :9it -�-te ';' a ��} Stove be 1_13A cmr<ir ed, pro ire mekc',: I:.edei __ d
manufacturer).
can,piets alf apclicabie infor-n2tior, can .he apt lication. InCompiete gl^.pii'c2tionfi Will no4 be ac-cepted.
P; ;clic3iorl
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1 loin Se¢, Address
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value of Ccnet; acit on oakr. ,::uicee-ais, profit)
�ropery Own.: Name Address
Clr�!/c�5,�
4;1
Phone G%7
s-Acoea
lowe
WQ
,1:�li {: Narl_ _ Address
Ci:yfS�la
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rycne Q70
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f , s. D2 V� tr
co . RGS50
6163-6a)0
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C n, of ru C:I1ir s Sales 1 a S
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.A a ya' paying � es here n ' .!re"1 ri �! Here ! � 'Ke� r .
� x vl % c r e It., c ,
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Are yv_ ;,jli;IZI With
y:+L, ,. _ t 3Cc::iUr1: MLyS Q NO
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is j is a, residential or cor -knerd2lprojec.7 esiG2rit2( co.m.mner=lai
_f rrsdent9al is V51ngle'Farri ly De -titled ❑ �;.�dcJ'own c:�:Q (siinC!e `as-,iy a"t:ac,`:ed) O iYiex
lJ mulld1mlly' parent) 0 C2Cag-e
mer" 1 R u 1 h ��ai �i N: -,^ c i_'� �"IC° � Rais
ifs C;r^:. 21, i5 (�: ❑ az:lit � �2r ;i] '1 �rG'1 � ; ,Gtc./. 14�... cwiC3i 0: i 1,�,
Is :.js "JuilGl;.0 5o year of age ..r II.^,,E� ' ' "2S �No y S, y✓'J
I; f a derr►ct9fiCn per -.(lit, what y_ r W,... Uhe
if u't Cf CG 11575, !O1 W111 AB'-d 21)` PSr:?S.• a 2!UESS,7ari to Subn_,,%t Wf,7 aPP11c3t1ci_1.
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S:ubcnri'Ll—a ors: L' t tta coo,;cFry rd,,e ct C91,7ns ACArSe -"
�i2�:G2rt ?1t;rter Mec'arics: P'scca" �••,,e. <
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I rje: a aCk,�owie_ a `hat 1 r'aV EaCf t4i5 a^�iicaL c A ° 1d S e I aA the a��ye lr yr .,at on ,S c.^..T; r e T e L
Y r pieta a, c ,rr agra a
r+h al regdrarn. er:w cont321-mae. herelr. =nd ^.- ^cs , , ' n , cc,s�. �..,,, t COiiipiy W... I v.,.ii�a s and S—Uta 12ws acula.•ri_ uilt r'C " ! . r know tha a
permi, is rat Valid critH iL has been paid and issued.
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