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1998-010289 - land alteration
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4415 Forest Lake Landing - 07-117-23-24-0047
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1998-010289 - land alteration
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Last modified
8/22/2023 5:33:26 PM
Creation date
9/28/2016 10:46:54 AM
Metadata
Fields
Template:
x Address Old
House Number
4415
Street Name
Forest Lake
Street Type
Landing
Address
4415 Forest Lake Landing
Document Type
Permits/Inspections
PIN
0711723240047
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� <br /> I' <br /> Total Fee: $ Date Received: <br /> � <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 /> . <br /> � lease print all information) <br /> ---��=.A__1��__�it��1 _�--------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTO <br /> JOB SITE ADDRESS: ��J S ���T �K�- �a��: � `S `3��4 <br /> NAME OF OyYNER: ��M �(-�'� .�—'l j�s PHO�IE: (home) �?7 7� <br /> (work) 7 - <br /> Maa,�rG An�xEss. ��1��p-�-�� ��;��rrY. D����z�. - <br /> � <br /> CONTRACTOR: '�{ � �S CL � PHO��tE: � r� -b�C� ( <br /> COivTACT PERS N: ��� MOBILE/PAGER:�ti �� - L � d <br /> MAII.�G ADDRESS:���2 f(p 1�v?��d�- 1� CITY:�1��)Q�cRc��i. ZIP: �� <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILi�i 1G ADDRESS: CITY: Z�: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration�_ <br /> I �� � � 7 <br /> PROPOSED WO (describ in detai : <br /> - � . <br /> / l <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOVIS: GARAGE STALLS: ATT. DET. <br /> EST�IATED 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 Ciry and with <br /> the State Buildin� 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 /> � <br /> APPLICANT'S SIGNATLTRE:��,-�� �;��� DATE: � <br /> NOTE! Parade o Homes events require separa e permit approval b Police Department and <br /> City Council 60 days prior to the event - e itted events will t be al owed _ <br /> �� + � � <br /> ��� � � � <br /> . � .1 <br /> �. � <br />
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