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2004-P08212 - new home
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4475 Forest Lake Landing - 07-117-23-24-0050
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2004-P08212 - new home
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Last modified
8/22/2023 5:33:37 PM
Creation date
9/28/2016 1:32:51 PM
Metadata
Fields
Template:
x Address Old
House Number
4475
Street Name
Forest Lake
Street Type
Landing
Address
4475 Forest Lake Landing
Document Type
Permits/Inspections
PIN
0711723240050
Supplemental fields
ProcessedPID
Updated
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_ ,��,� ��, <br /> . - (��,� <br /> � �, �, ��; <br /> Total Fee: $ � %�' - - �L� l '� ti�ateReceived: j/-;;2 -C�`-/ <br /> Entered By: r�.� �,;; �,�� � Permit#: r', );�'/y ,�' <br /> �'- <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (plec�se print all i�ifor�natio�z) <br /> -------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle orte) OWNER OR CONTRACTOR <br /> yM�� <br /> JOB SITE ADDRESS: � �a?.Fs; L�QKE Ly��►iOiK E ZIP: .�SS3�� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS �NO If ves, a special eve�zt per�nit is r-eq�rirecl with Police Deparb�ie�zt and Cih�Counci!app��oval <br /> 60 dcn�s prior to the event. Shi�ttle bus se���ice wi(I be requii�ed iuzless c�pplicant demo�2sh•rrte� <br /> su�eie�zt or�-site par•Iring is civailnble. NoiT per�nitted events will not be allowecl.��1 � <br /> G�a• b�Z - qi6 .Ss� <br /> NAME OF OWNER: C�EosL�Q �a�rp �'t-',�►T ►.���s�"'PHONE: (ha�.ue) -r,r� b �z-4►� ' � <br /> ��k� � <br /> MAILINGADDRESS: `��?� SN°�L�"�E �� CITY: S(�L►ti� PA�L� ZIP: .b�'38'y <br /> R.S�3 �N Er,m6�c'1 �,�� C�sta�� 763 <br /> CONTRACTOR; ��� L '(,aJcr�t-sY s�r+P.d �°�'" PHONE: .2.s'3-pQ£s� <br /> CONTACT PERSON: ,s�2s� �,4A,aF� MOBILEI�: �� z- - 9 i 9- ��d <br /> MAILING ADDRESS: r?a 3a�C 2,7�7C1 CITY: Ga� A�LFttZIP: ��'�{ Z'7• <br /> STATE LICENSE: #� C aUZ73Y k� EXPIRATION DATE: 3 /3 i JZp6.�- <br /> 2�c�+n*v� �r�aR Ac R <br /> RCHITEC�TENGINEER: ����► Naa�E �'�RHN�,�l� PHONE: 7y3 - �''�b � l43'� <br /> MAILING ADDRESS: 1 Z.7�5" -►S�R.re � CITY: pr�,ricu� ZIP: a�yi�i• <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New p�' Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(desc��ibe in detai�: S►NC L� �-�►+�r d�.tt sra'.P-�. ulAuc ou�' n�orr�L . <br /> e S� �»N�,,.r �}-t_a a.n z�z g '-�i ��- <br /> STORIES: � �W��� SQ.FEET OF EACH FLOOR: �"'�- Z6 7 � � <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED_�3 _ <br /> ESTIMATED CONSTRUCTION VALUAT�ON(excluding land): $ .3`��,�ad � <br /> -T <br /> I hereby apply for a building permit and I acknowledge that the inforniation above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: Ci�iu�( _ DATE: /i a�a�. <br /> � �� �2-s99-9���� <br /> �. 763 - �3-eaSr/ <br />
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