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Average Lakeshore Setback <br /> Shoreland District MCWD Permit Met? B�uff <br /> Yes � No Permit Number: 0 Yes � No N/A � Ye No <br /> 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 /> '' �,�� ���i�'� ��(p(��(� � Yes No � Yes ,No <br /> 1 2 3 � 4 5 Type(s): Type(s): <br /> �q���.i k��4 ��- <br /> Fees to be Char ed YES NO <br /> Permit Lr <br /> Plan Review �,' <br /> State Surcharge I,•^- <br /> Investigation Fee i/` <br /> SAC-Number of SAC Units V <br /> Other(specify) (�-- <br /> Square Footage $ per Square Foota e <br /> Basement X = $ <br /> 1 S' Floor X = $ <br /> Znd FIOor X = $ <br /> Garage X = $ <br /> v - <br /> Estimated Construction Value: <br /> Orono Inspections Required Work Requiring Separate Permits <br /> � Footing � Site Plumbing 0 Grading/Filling <br /> ��,�Poured Wall Silt Fence/Erosion Control Mechanical � Fire <br /> � Foundation Survey 0 ardcover Removal � Fireplace ❑ Water Connection <br /> 0 Framing � Other(specify) � Masonry ❑ Sewer Connection <br /> � Waterproofing/Drain tile 0 Mfg. 0 Lawn Irrigation <br /> 0 Foundation Waterproofing 0 Other(specify) � Landscaping <br /> �Framing <br /> �Insulation <br /> 0 As-Built Survey <br /> Final <br /> � Lathe Required State Permits <br /> 0 Other(specify) <br /> � Well Electrical <br /> �'� C�l ���(�` /� � 1 <br /> REMARKS (in-house): d lS f''✓� � T 1 ✓1 <br /> � �o�-�n r� ►�,�� o v�rmv� s�2 u � ca� � <br /> p �t,�m r� l� a f�0��'12 �2�' /`�° s�l3�'�i s�d l� m✓' �"�s <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INllf`IALLED: <br /> � See Builder Acknowledgement Form <br />�Prior to release of escrow money , . <br /> Ol�ul.. cl� ! ' J�.� <br /> . <br /> Updated: May 016 <br /> z:\forms\plan review checklist 5-2 1 .�,^n <br /> . <br /> � �v <br />