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Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> Yes ❑ No Permit Number: 0 Yes 0 No AN/A <br /> 0 Yes <br /> No <br /> ❑ N/A—see attached <br /> Setback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> (circle one) k% and sf) (% and sf) <br /> (( 1 2 3 4 5 1—1,5(00 ZI.i°lo 0 Yes No X Yes 0 No <br /> lq 222 3F l I,3 q41 F Type(s) Type(s): ftd 1lMktg <br /> 4) <br /> Sh=r <br /> Fees to be Charged YES NO AU.lAOry <br /> • Permit tl' S'�'r1tL. IAY 01.,Plan Review (/ <br /> State Surcharge <br /> Investigation Fee U <br /> SAC-Number of SAC Units G q VY 9--e/ ( -' <br /> Other(specify) V <br /> Square Footage $ per Square Footage <br /> Basement X = $ <br /> Cec4 I/ Z, X j3� - 5'6, = $ � 3t8 .7� <br /> 2nd Floor g 1/ X /00 .?4 = $ eg1 k 6t ,q4` <br /> Garage /0 18 X .70,.5" , - $ 37) Z9.OR <br /> Estimated Construction Value: $ /Z gi /l Z <br /> Orono Inspections Required Work Requiring Separate Permits <br /> Footing 0 Site Plumbing ❑ Grading/Filling <br /> Poured Wall Silt Fence/Erosion Control Mechanical 0 Fire <br /> Foundation Survey 0 Hardcover Removal 0 Fireplace A.Water Connection <br /> Framing 0 Other(specify) 0 Masonry <br /> A. <br /> Sewer Connection <br /> ❑ Waterproofing/Drain tile 0 Mfg. 0 Lawn Irrigation <br /> ❑ Foundation Waterproofing 0 Other(specify) 0 Landscaping <br /> Framing <br /> Insulation <br /> As-Built Survey <br /> Final <br /> O Lathe Required State Permits <br /> ❑ Other(specify) <br /> 0 Well Electrical <br /> / <br /> REMARKS (in-house): <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: <br /> See Builder Acknowledgement Form <br /> ❑ Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. <br /> Updated: May 2016 <br /> z:\forms\plan review checklist 5-2016.docx <br />