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1997-009516 - land alteration
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2800 Countryside Drive West - 04-117-23-12-0009
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1997-009516 - land alteration
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Last modified
8/22/2023 5:06:53 PM
Creation date
5/11/2016 11:38:57 AM
Metadata
Fields
Template:
x Address Old
House Number
2800
Street Name
Countryside
Street Type
Drive
Street Direction
West
Address
2800 Countryside Dr W
Document Type
Permits/Inspections
PIN
0411723120009
Supplemental fields
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Updated
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. � <br /> Total Fee: $ 4�,.r-�' Date Received: <br /> Entered By: �,� Permit#: <br /> CITY OF ORONO - BUII�DING PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle on OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: � , j CN( �f , �) ZIP: �S 3 S`p <br /> NAME OF OWNER: C r _ ti �CW�' � t(�� PHONE: (home) � `t�—C1��� <br /> (work) <br /> MAILING ADDRESS:��BC� Cu��,rS�cJ�� ��c�: C_��'o�1G z�:`��� <br /> COi�1TRACTOR: � C�l��'� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move RemodeUAlteration Land Alteration�_ <br /> PROPOSED W RK(describe in detain: � �� <br /> S �fAtJt�� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMAT'ED CONSTRUCTION VALUATION (excluding land): $ <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 ap roved plan. <br /> APPLICANT'S SIGNA C�. V� DATE: Z� � �r <br /> NOTE! Parade of Flomes events r ire separute permit approval by Police Department and <br /> City Council 60 days prior to the e nt. Non permitted events wil not be a owed. <br /> �� {��.,. /� r 3 Q? <br />
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