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Fees to be Charged YES NO ' •
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<br /> Investigation Fee
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<br /> Sewer Connection
<br /> ,Water�Gornnsction , i �a,.� '� °'_� ���;�;��,�
<br /> -�s � ,� ,.,.
<br /> Park Fee
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<br /> Other(specify)
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<br /> Caiculated By:
<br /> Square Foota e $ per Square Foota e
<br /> Basement X = �
<br /> 1 S' Floor X = $
<br /> 2nd Floo� X = �
<br /> Garage X = $
<br /> Estimated Construction Value: � I 0,(��n °6
<br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits
<br /> � Site � Plumbing ❑ Grading/ Filling � Well
<br /> ❑ Hardcover Removal 0 IVlechanical ❑ Fire Efectrical
<br /> Footing ❑ Septic D `Water Connection
<br /> 0 oured Wall 0 Fireplace ❑ Sewer Connection
<br /> Foundation Survey 0 Masonry ❑ Lawn Irrigation
<br /> 0 Radon Rock Bed � Mfg.
<br /> Framing ❑ Other(specify)
<br /> D.�n�ulation
<br /> ; 'I�^� s-Built Survey
<br /> ��%� �Final
<br /> � Other(specify)
<br /> REMARKS (in-house):
<br /> Other Review: Reviewed by: Date Approved:
<br /> Access:Existing: � YES ❑ NO New: 0 YES � NO
<br /> � , ' ;' � �� 'i � � ` :", . G PERMIT) ,_
<br /> � I , Y PERSON PULLIN
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<br /> B NOTED ON PERMIT AND INITIALLED B
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<br /> Updated: 09/11/2009
<br /> z:\formslplan review checklist.docx
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