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��erag��ak�shocc���tEtack Btui'fi� — <br /> Sharetar�c€ �t�trict �€Ct�'E� Perrr►it �et? <br /> � Yes C� <br /> E� Yes �7 No Permit Number: C� Yes � No � N/A �o <br /> CS N/A-see attached Setback: <br /> Stormv�ater Qu�lit}� Existireg Rropo�ec4 <br /> OverEay Disfricti Tier Harc6cov�r Har�cov�r Variance Required CUp Required <br /> circle one %and s %and s <br /> . G Yes G No � Yes � No <br /> 1 2 3 4 5 TYPe�S)� TYpets)� <br /> Fees to be Cha ed ' 1(��. �tD <br /> . , r <br /> P�»it � : <br /> Plan Review <br /> Stat�S�ut�a� ' °�- <br /> e ; -. <br /> investigatian Fee • <br /> �SAC-1+lt�t�be�'��AC��lts . . L. --"�,, . <br /> Other(specify) <br /> S uare Foota e S er S usre Foota e <br /> Basement X - $ <br /> 1�Floor X = $ <br /> 2nd Floor - X - $ <br /> Garage X - $ <br /> , .. n <br /> Es#imated Construction Vaiue: f `^'���� <br /> Orono Inspections Required . 1lVork Requiring Separate Permits <br /> p ����g 0 Site P{umbing L7 Grading/Filling <br /> 0 Poured Wali Cl Silt fence/Erosion Control G Mechanicai" CI �Fire <br /> t3 Foundat�on Survey G Hardcover Removai C9 Sep�c � Wazer Conneation <br /> � Foundation Waterproofing Q Other(specify) Q Firepiace C Sewer Connection <br /> Framing ' CI Masonry O Lawn Irrigation <br /> . Insulation � Mfg. O Landscaping <br /> t7 As�uilt Survey L! Other(specify) <br /> �'in�l <br /> � Lathe RequEred State Permits <br /> � Other(speci#y) <br /> C! Well ElectriCal <br /> REMARKS (in-house): <br /> OFFiClAL RENfARKS-'CQ BE NOTED O�E;PERMiT f�N� It+EITEALLED; <br /> � See��€ic�er�;ck�ewfec�gem�nt�arm <br /> C7 Prior to release of escrow money an as-buiit survey and hardcover calculations must be sul�mit#ed and approved. <br /> Updated: Odober 2015 <br /> �•\fnrmc\nlan rovipwrhs+rlrlic4 1f1.7f11�i Annv <br />