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Shoreland District NiCVIID Permit Average Lakeshore Setback ���� <br /> Met? <br /> � Yes � No Permit Number: ' � . �_�� � No � N/A Yes 0 <br /> No <br /> � N/A-see attached Setback: <br /> Stormwater QuaBity Existing PrQposed <br /> Qverlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> circle one % and sf % and s <br /> _ . F �; / '�- i �; Yes � No ❑ Yes No <br /> 1 : 2 3 4 5 TYPe�s)� Type(s): <br /> �L �,,� ; � j`�:. <br /> � <br /> � Fees to be Char ec� YES t�0 <br /> ' Permit (/' <br /> Rlan Review � <br /> State Surcharge C/ <br /> Investigation Fee �' <br /> SAC-lVumber ofi SAC €Jnits <br /> Other(specify) <br /> S uare Foota e $ er S uare Foota e <br /> Basement X = $ <br /> 1St Floor x - $ <br /> 2nd Floo� X = $ <br /> t <br /> Garage X = $ <br /> , <br /> Estimatec� Construction �alue: $ �� LW,(�� ^ <br /> Orono Inspect�on� Requirec! l�ork Rec�uiring Separate Fermit� <br /> Footing 0 Site Plumbing � Grading/Filling <br /> � Poured Wall Silt Fence/Erosion Control � Mechanical ❑ Fire <br /> �Foundation Survey ❑ Hardcover Removal � Septic �VUater Connection <br /> Foundation Waterproofing ❑ Other(specify) �.Fireplace �Sewer Connection <br /> Framing � Masonry � Lawn Irrigation <br /> Insulation �'Mfg. ❑ Landscaping <br /> As-Built Survey � Other(specify) <br /> Final <br /> �Lathe Required State Permits <br /> ; <br /> 0 Other(specify) <br /> Well Electrical <br /> RENiARKS (in-house): <br /> ; <br /> a <br /> i <br /> QFFICfi4L RElVI�4RK� -T� BE NOTE� O�E PERIi�ilT AN� IIVITlALLED: <br /> a: .�ee Builde , Acknowledgement Form <br /> P � relea y d ha ti ub pp?c�d. <br /> ;' � <br /> x:_ <br /> Updated: October 2015 <br /> ��\fnrtnclnlan rovia�ni rharklicf 1(1_9l11F rinrv <br />