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1997-008840 - tear off
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4225 Forest Lake Drive - 07-117-23-12-0025
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1997-008840 - tear off
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Last modified
8/22/2023 5:30:41 PM
Creation date
8/12/2020 2:49:52 PM
Metadata
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x Address Old
House Number
4225
Street Name
Forest Lake
Street Type
Drive
Address
4225 Forest Lake Dr
Document Type
Permits/Inspections
PIN
0711723120025
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Updated
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� <br /> � • <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> --------------------------------------------------------------------------- ----------- ------------------------- <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: ��2���p(�¢,fi' �� Ol� ZIP: 5 � 7j � u <br /> NAME OF OWNER: Y�� ` �p�b� PHONE: (home) L/"��� ,��j 7� <br /> (work) <br /> MAILING ADDRESS: `T ZZ-`� LK�Q�TY: 2� ZIP: ,5 s"3 C c ( <br /> CONTRACTOR: ��I�T.4� PHONE: �l�j S3 2 S <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: � �/S � r.K, !o�'' CITY: ✓�p� ZIP: 5 5 y-z Z <br /> STATE LICENSE: # 3 2`�? <br /> ARCHITECTlENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: '(—�,��� 4�=f` ��F �i�J�e��-*n�-5¢ <br /> �- �-r- �� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $�7`�Q •va <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> the State Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: C/�' -���'�— DATE: � " ZS� ' / <br /> NOTE! Parade of Homes events require separate pernzit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />
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