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Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> �es O No Permit Number: N,�. � Yes 0 No N/A � Ye No <br /> '� ` 0 N/A—see attached Setback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> circle one % and s % and s <br /> N � � 0 Yes No � Yes No <br /> 1 2 3 4 5 I / Type(s): Type(s): <br /> �L� <br /> Fees to be Char ed YES NO <br /> Permit <br /> Plan Review <br /> State S�rcFtarge <br /> Investigation Fee <br /> SAC—Number of SAC Uni� <br /> Other(specify) <br /> S uare Foota e $ er S uare Foota e <br /> Basement X = $ <br /> 1� Floor X = $ <br /> 2nd Floo� X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ <br /> Orono Inspections Required Work Requiring Separate Permits <br /> � Footing 0 Site 0 Plumbing � Grading/Filling <br /> 0 Poured Wall � Silt Fence/Erosion Control � Mechanical � Fire <br /> � Foundation Survey � Hardcover Removal � Septic � Water Connection <br /> 0 Foundation Waterproofing 0 Other(specify) 0 Fireplace 0 Sewer Connection <br /> 0 Framing O Masonry 0 Lawn Irrigation <br /> � Insulation 0 Mfg. � Landscaping <br /> 0 As-Built Survey � Other(specify) <br /> G Final <br /> � Lathe Required State Permits <br /> 0 Other(specify) <br /> 0 Well G Electrical <br /> REMARKS (in-house): 'I1 � <br /> � a,1�Ol DnI�Ye,. <br /> OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED: <br /> See �I edge m <br /> �rio re escrn �►, ,,,��....�-_.- -.--, , • ,�.� <br /> � Contact the City at 952-249-4600 to schedule an inspector to visit the site and verify existing sign size � <br /> � prior to installation of new signs. A 24-48 hour notice is required. <br /> Updated: Odober 2015 <br /> �•\fnrmclnl�n ravia�u rhartklic}1(1_9MF rVnrtr <br />