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Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> CI Yes XNo Permit Number: !(0 — 24 ❑ Yes 0 No (1 N/A 0 <br /> Ye No <br /> 0 N/A—see attached v Setback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> (circle one) (% and sf) (% and sf) <br /> ❑ YesNo ❑ Yes ( No <br /> 1 2 3 4 5 V I9--M � Type(s): Type(s): `� <br /> Fees to be Charged YES NO <br /> Permit lZ <br /> Plan Review l/` <br /> State Surcharge t/' <br /> Investigation Fee V <br /> SAC—Number of SAC Units L/' <br /> Other(specify) V-- <br /> Square Footage $ per Square Footage <br /> Basement X = $ <br /> 1St Floor X = $ <br /> 2nd Floor X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ 0 / v d 0 <br /> Orono Inspections Required Work Requiring Separate Permits <br /> Footing 0 Site ❑ Plumbing 0 Grading/Filling <br /> ❑ Poured Wall 0 Silt Fence/Erosion Control / <Mechanical 0 Fire <br /> ❑ Foundation Survey 0 Hardcover Removal 0 Septic 0 Water Connection <br /> ❑ Foundation Waterproofing 0 Other(specify) 0 Fireplace 0 Sewer Connection <br /> ❑ Framing 0 Masonry 0 Lawn Irrigation <br /> ❑ Insulation 0 Mfg. 0 Landscaping <br /> As-Built Survey 0 Other(specify) <br /> Final <br /> ❑ Lathe Required State Permits <br /> ❑ Other(specify) <br /> 0 Well 0 Electrical <br /> REMARKS (in-house): <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: <br /> See Builder Acknowledgement Form <br /> rior to relea -essr-caacmoney an as-builtshy anUhardcover calculations-m[fs'f be subm1ttedand approved. <br /> Updated: October 2015 <br /> 7\fnrmc\'Ilan rPVICAM rhorlrlict In_9f1c rinry <br />