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^ t,`:6��/',{v <br /> • v 'v� <br /> �� /�verage Lak��hor�Sefiba�k ' 8��,� <br /> Shoretand Disfricg �C�"� �e��f e f�€et? <br /> � Yes <br /> Yes � �o Permit Number. �� --��„� � Yes CZ I�o �A No � <br /> t� 1�/A-see attached Setback: <br /> Stormwater Qualit�r �X�SS:iRg Pra{�osed <br /> Overlay E?istrict'�ier 6�arcCccsver Ftardcover Varianc�Rsc�uEred CE1P Eteqcaired <br /> circle one %and sf %and sf <br /> �,�J7u CI Yes o � Yes No <br /> 1 2 �3 4 5 .�y �qZ1',t{-.5-� �YPe�s)' T�e�S�' <br /> Fees to be Char ect YES NO <br /> Pern'tit '",.� <br /> Plan Revie� � <br /> St�ate Surchar�e '�-� <br /> Investigation Ee� � <br /> SAC-Number of�i�G BJ�its � �'�' <br /> Other(sp�cify) � <br /> S u�re Facta e � er S uare Foota e ___ <br /> Basement�1" ' 3 �Q�-i X - {���- r = $ � 1 _��I��-�� <br /> ^.� .ry�I - � ��,'J/'.. � � � � � <br /> ,�,�G� 4��'� � _ � , x ���� ''*� C:,..-3�, <br /> F•,- <br /> a <br /> 2^� Floor � �j''"��� X ��4'�,�. '�� -Q = $ w.�`'� ��t- �'�' <br /> Garage � ''i � �` X .�v�• ;�� - $ �� 'L'�a �'`�" <br /> �� -'--77/.� <br /> Estimated Construction Value: - � <br /> Orono Inspections Rec�uired Work Requiring Separate Permits <br /> Footing � Site Plumbing L7 Grading/Filling <br /> Poured WaA Silt Fence/Erosion Control Mechanical 0 Fire <br /> Foundatiort Survey 0 ardcover Removat Septic �I Water Connection <br /> Foundation Waterproofing �i Other(specify) � Fireplace CI Sewer Connection <br /> Framing � Masonry 6 Lawn Irrigation <br /> Insulation �Mfg. C1 Landscaping <br /> As=Butlt Surve�r � Other(specify) <br /> Final <br /> Lathe Required State Rermits <br /> Q Other(�pecify) <br /> W��� Electrical <br /> : REfi�ARK�(in-house): <br /> OFF9C!l�,L REM14RKS-TQ BE t�Q'�ED OM PERM{T 1��ED ENtTlALl.ED: <br /> S�e Suilcier Ackno�rrlecfgemenf�orm <br /> � E3 Prior to release of escrow money an as-buiit survey and hardcover calculations must be submitted and approved. <br /> Updated: October 2015 <br /> �•�{��c\nlan roaiaw�horklicf 1(1_9l11F rinrv <br />