Laserfiche WebLink
:.„�F�ra,�*rT .,v�r..a .��vax...,,s..,;�.r.-.._;^a���:oss.�ccr�,.�,�vwc�zs-•.. ,,.x,..�^ -m��-¢..>c�_r=.:;n«ns'�.-=�:*�: -- - »...�s'Ta�C.�`1."" �.,�.,r,L'�4'�."„'s£"."•SrlF'°ti.r;,"�� <br /> k• <br /> Shoreland District MCWD �ermit Average Lakeshore Setback Bluff <br /> - Met? <br /> �Yes 0 No Permit Number: � � -_-��`� 0 Yes ❑ No N/A � Ye No <br /> 0 N/A-see attached Setback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Flardcover Hardcoder Variance Required CUP Required <br /> circle one % and sf % and sf <br /> Yes ❑ No 0 Yes No <br /> 1 2 �3 4 5 Type s : Type(s): <br /> c <br /> Fees to be Char ed YES NO <br /> Perrni� tf' <br /> Pfan Review � <br /> State Surcharge '�` <br /> Investigation Fee �/' <br /> SAC-Number of S�C Units (� , <br /> Other(specify) a <br /> Square Footage $ per Square F <br /> Basement X ��-�- !/�I � S S �'�j (� <br /> 15t Floor x �, - '��'l �I� � � � � <br /> 2nd Floo� X l ( C� l��_ I <br /> ! � �-�`� <br /> Garage X U /� _l��� <br /> m� �S � Cl <br /> . � <br /> . � <br /> Estimated Construct�on Value. i <br /> �G��d e!/� g o � "'� �� <br /> Orono Inspections Required � �� / � „/� <br /> �f� �l <br /> Footing 0 Site � ���-� (�°5/vCS '�, <br /> Poured Wall Silt Fence/Erosion Control � �`l ����J i <br /> Foundation Survey ❑ Hardcover Removal 0 � � , <br /> ❑ Foundation Waterproofing ❑ Other(specify) ���e ¢� �m�+ �7�� f�,� �(� ; <br /> Framing � <br /> Insulation /—�•��•y� — --- , � <br /> As-Built Survey CI Other(specify) <br /> Final <br /> � Lathe Required State Permits <br /> 0 Other(specify) <br /> ❑ Well Electrical <br /> REMARKS (in-house): � <br /> OFFiCIAL REMARKS -TO BE NQTED ON PERIVIIT AND INITIALLED: <br /> �See Builder Llcknowledgement Form <br /> � Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. <br /> d" <br /> Y� <br /> Updated: October 2015 <br /> �•\fnrme\nlan rovia�ni rharklict'I(1_9(11F rinrv <br />