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� 1 <br /> a ni e�� o'�Z�n'ff�g e�i��s <br /> Page�o.ff� <br /> Cubic Yards <br /> In Out Total <br /> Haul Route? ? � Yes 0 No <br /> Explain haul route in detail: <br /> Fees to be Charged Amount Orono Inspections Required <br /> Permit Amount � <br /> �� � 0 Site <br /> Escrow Amount�� M�'c � Hardcover Removal <br /> � UV�( �� 2�� / Footing <br /> Signed escrow received? Poured Wall <br /> s-Built Survey <br /> es 0 No Planting Plan <br /> � Wetland <br /> Escrow amount received? Final • j��(V✓�t�l �D � ��� '�l Ql�� . <br /> Yes � No 0 Other(specify) �I�IJIo(G� ,�V�S �"U ��'� <br /> `� � VlGl.l (3V1 <br /> Engineering review needed? <br /> �� s17�irS <br /> � r <br /> Yes 0 No <br /> REMARKS (in-house): �11tiV I G� b� ����� �U��'� � <br /> Other Review: Reviewed by: Date Approved: <br /> REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) <br /> � I� � ✓' �t l V�G� — L,�YI�7,1 Gf M GIM� �,!�r�'l (� <br /> ) � <br /> � ��Pt/' �U !MS ��' �'�l�iGC,P � � yl U�' Gf�I1v�J �l��/�� <br /> ✓b JPi <br /> ��1 ����lr�l�t� ( �� fl ►��ov 1� ���c�v� ►�1�� <br /> Created: March 29, 2011 <br /> z:\forms\plan review checklist for zoning permit applications.docx <br />