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Average Lakeshare Setback B��ff <br /> Shore(ana District NICI�IFD Fermit Miet? <br /> �Yes � No C3 N/A � Yes <br /> �Yes Q No <br /> Permit Number: �o <br /> N/A-see attached Setback: <br /> Storrnwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Reqcsired CUP Required <br /> circle one %and s °/a and s <br /> 2,3e35a ?.�tC)0 S � Yes Q No � Yes � No <br /> � 2 3 4 5 ���-c� T�e�s�' TYPe�S)• <br /> ��'.t�0�t3 <br /> Fees to be Char ed : YES `1�0 <br /> Psrmit' , <br /> Plan Review <br /> S#ate 5�rctaacge . <br /> lnvestigation Fee <br /> SAC-lVamber of SAC tlnits <br /> �3ther{specify) <br /> S uare Foota e $ er S uare Foota e <br /> - - - -� � � : 1�,7 X 2 �., C� = $ IS� , � <br /> ---- <br /> 1�ftoor X - $ <br /> 2"�Floor - X = $ <br /> Garage X = $ <br /> [�.-� `�- <br /> Estimated Construation Value: � 1 �G .�� <br /> Orono tnspections Required Work Requiring.Separate�errnits <br /> � Footing 17 Site O Plumbing � ,Gradi�g!Filiing <br /> � Poured Wall � Si1t Fence/Erosion Control i] Mechanical a Fire <br /> fl Foundation Survey � Hardcover Removal � Septic � Water Connection <br /> � FountlaUon�Waterproofing 0 Other(specify) � �ireplace D Sewer Conn�ctio� <br /> framin� � Masonry 0 Lawn Irri�ation <br /> � Insulation = � Mfg. � Landscaping <br /> As-Built Survey L7 Other(specify) <br /> inai <br /> C] Lathe Ftequired 5tate Permits <br /> 0 Other(specify) <br /> fl Weli ❑ Electrical <br /> REMARKS (�n�house); - <br /> OFFICIAL REMARKS-TO BE NOTED QN PERMIT ANDINITIALLED: <br /> uilder gement <br /> �Prior to release of escrow money an as-built survey and hardcover calculations mus#be submitted and approved. <br /> Updated: October 2015 <br /> r\fnrmc\nlan rtavipw nhArtlrlict'I(L9(11.ri�Inrv <br />