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Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> Q Yes � No Permit Number: � Yes 0 No � N/A � Ye No � <br /> 0 N/A—see attached Setback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> circle one % and sf % and sf <br /> � Yes � No � Yes � No <br /> 1 2 3 4 5 Type(s): Type(s): <br /> Fees to be Char ed YES . NO <br /> � Perm it t..-�" <br /> Rlan Review �� <br /> Stat�Surcharge f,�-� - <br /> Investigation Fee �% <br /> SAC—Nutnber of SElC #i�its .- <br /> Other(specify) - <br /> S uare Foota e $ er S uare Foota e <br /> Basement X = $ <br /> 1� Floor X = $ <br /> 2nd Floo� X = $ <br /> Garage X = $ <br /> � !r,„���% �m� <br /> Estimated Construction Va{ue: <br /> Orono Inspections Required Work Requiring Separate Permits <br /> � <br /> `� � Footing � Site Plumbing � Grading/Filling <br /> � � Poured Wall 0 Silt Fence/Erosion Control � � Mechanical � Fire <br /> � <br /> � Foundation Survey 0 Hardcover Removal � Septic � Water Connection <br /> �' 0 Foundation Waterproofing Q Other(specffy) 0 Fireplace 0 Sewer Connection <br /> �'` Framing � Masonry � Lawn Irrigation <br /> 0 Insulation � Mfg. 0 Landscaping <br /> � � O As-Built Survey 0 Other(specify) <br /> Final <br /> 0 athe Required State Permits <br /> 0 Other(specify) <br /> � Well �lectrical <br /> , <br /> REMARKS (in-house): <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: <br /> � � See Builder Acknowled ement Form <br /> �' 9 <br /> �. 0 Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. <br /> � <br /> € <br /> Updated: October 2015 <br /> �•\fnrtne\nlan rcvicw rhaekliet 1 fl_9(11 F rinev <br />