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., ,.. .. _ . <br /> �� _ _ <br /> � �4�+erage Lak�shore Setback <br /> I' Shoreiand District MCIlVD Permit �e�� Bluff <br /> � 0 Yes �No Permit Number: i 0 Yes 0 No �A � Ye No <br /> �� 0 N/A—see attached Setback: <br /> 5tarmwater Quality Existing Proposed <br /> Overlay Destrict Tier Hardcaver 6iarcicover �Pariance Required CUP Required <br /> circle one % and sf °/o and sf <br /> 0 Yes No Q Yes No <br /> 1 2 3 4 � ��------ _ _ _.._.._n._..�. TYPe�S)� TYPe�S)� <br /> �s <br /> � Fees to be Char ed YES NO <br /> �. <br /> � Permit <br /> � Plan Review <br /> �. <br /> State Surcharge <br /> Investigation Fee <br /> S�lC—Number of SAC llnits <br /> Other(specify) <br /> Square Foota e $ per Square Foota e <br /> Basement X = $ <br /> 15� Floor X = $ <br /> 2nd Floo� X = $ <br /> Garage X = $ <br /> Estimatec� Construction Value: $ <br /> Orono Inspections Required Work Requirin� Separate Permits <br /> � 0 Footing 0 Site ❑ Plumbing ❑ Grading /Filling <br /> ❑ Poured Wall 0 Silt Fence/Erosion Control Q Mechanical ❑ Fire <br /> `IIj Foundation Survey ❑ Hardcover Removal � Septic 0 Water Connection <br /> `Q Foundation Waterproofing ❑ Other(specify) � Fireplace � Sewer Connection <br /> Q Framing ❑ Masonry ❑ Lawn Irrigation <br /> ❑ Insulation 0 Mfg. � Landscaping <br /> `�.�'4s-Built Survey ❑ Other(specify) <br /> ❑ Final <br /> � Lathe Required State Permits <br /> � Other(specify) <br /> 0 Well ❑ Electrical <br /> REMARK� (in-house): <br /> 4 <br /> t OFFICIAL REIVEARKS -TO �E NOTED ON PERMIT A,ND INITliRLLED: <br /> : �See Builcler Acknovvfedgement Forrn <br /> . �---- � z=,.� ,_r_.�.a, <br /> ��'R�ior_LosEl�asE-n'f-escrovu-money_ara_as-bUit�surveya�d hardcQ:ue�•earculations mi�st be�erbt�titfed and approved. <br /> Updated: October 2015 <br /> �•\fnrmc\nlan ravia�ni rhorklict 1f1_9f115 rinrv <br />