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���-�.�� . <br /> Shoreland District MCWD Permit ; 'ti�� ,2 � Average Lakeshore Setback g�uff <br /> `v M et? <br /> es � No Permit Number: 15 ��� � Yes � No � N/A � Ye No � <br /> � N/A—see attached QD p{1 N S�� Setback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> circle one °/o and sf % and sf <br /> �,�rj�0 � Yes No ❑ Yes o <br /> � 2 3 4 5 Z V t�� _(, Type(s): Type(s): <br /> 5�� <br /> Fees to be Char ed YES NO <br /> Permit ✓ <br /> Plan Review <br /> Stat� Surcharge '(� <br /> Investigation Fee � <br /> SAC— Number of SAC Units �/` <br /> Other(specify) Y-, <br /> Square Footage $ per Square Footage <br /> Basement X = $ <br /> 15f Floor X = $ <br /> 2nd Floor X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ C���, �D <br /> Orono Inspections Required Work Requiring Separate Permits <br /> �= Footing 0 Site Plumbing ❑ Grading/Filling <br /> �Poured Wall Silt Fence/Erosion Control � Mechanical � Fire <br /> �Foundation Survey 0 Hardcover Removal 0 Septic �Water Connection <br /> �Foundation Waterproofing 0 Other(specify) Fireplace �'Sewer Connection <br /> � Framing 0 Masonry 0 Lawn Irrigation <br /> � Insulation �Mfg. 0 Landscaping <br /> As-Built Survey ❑ Other(specify) <br /> � Final <br /> Lathe Required State Permits <br /> ❑ Other(specify) <br /> � Well ❑ Electrical <br /> REMARKS (in-house): W�-� V� �'��� � �-�� ` �� l.;°�. _ '����" ��' �. -�t'j ��.Q_��':�y�-'s. Y�� �F ���,��;�����.: t <br /> . � <br /> 0� � -� �'.�� C�(�u� �i�����y ..., <br /> OFFIC REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: <br /> See Builder Acknowledgement Form <br /> mone be submitted and a proved. <br /> Updated: October 2015 <br /> �•\fnrmc\nlan rc�iio�ni rhorklicf 1(1_7l11F rinrr <br />