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. . • <br /> Earth Movement - Cubic Yards <br /> In Out Total <br /> Haul Route? ? � Yes � No <br /> Explain haul route in detail: <br /> Fees to be Char ed Amount Orono Inspections Required <br /> Permit Fee Amount <br /> 0 Site <br /> Escrow Amount 0 Hardcover Removal <br /> � Footing <br /> Escrow Agreement received? �VV � Poured Wall <br /> ��r�,yt�N� As-Built Survey <br /> 0 Yes � No ��� �r(J�'r � Planting Plan <br /> ❑ Wetland Buffer <br /> Escrow Money received? � �b(J Final <br /> 0 Yes 0 No � Other(specify) <br />� Engineering review needed? <br /> � Yes 0 No <br /> REMARKS (in-house): <br /> Other Review: Reviewed by: Date Approved: <br /> REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) <br /> � f �o � C�'tinl ✓1 <br /> ol.�S-IDk� btit�✓ Cor er � <br /> �( �- ��brb ved. <br /> Updated:January 2013 <br /> z:\forms\plan review checklist for zoning permit applications 2013.docx <br />