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Sh�retartcf [�istrict i�i'C�hf�k�erm�t �e�rage �akesl�csr�Sett�ack giuff <br /> f�et? <br /> � ` Permit Number. � Yes Ck No ��q � Yes <br /> � Yes �,�No �a <br /> � ° � N/A—see attached Setback: <br /> �torm�ater Q�ality Ezistin� FroRasecl <br /> Overta�r E3istrict Ti�r Hardc�Yer Hardcover �ariancs R�auired CU�Required <br /> circle one %and s %and sf <br /> E3 Yes No 0 Yes o <br /> 1 2 3 4 5 Type(s): Type(s): <br /> Fees to!��Char ed YES Pt� � <br /> Permit <br /> Plan Revi��r i� <br /> Stafe Suraharge <br /> lnvestigation Fee <br /> SAC—t�um#�er�f SAC units <br /> Other(s�ecffy} <br /> � uare Foota � $ er S uare Foota e <br /> Basement X = $ <br /> 1�Floor X = $ <br /> 2"� Floor � � X = $ � � <br /> Garage X = � <br /> Estimated Construction Value: <br /> � � <br /> Orono Inspections Requirec� 1Mcrk Requiring Separate Permits - <br /> d footing O Site Plumbing � Grading/Fiiling <br /> 0 Poured Wafl � Silt Fence/Erosion Control Mechanical � Fire <br /> Q Foundation Survey O Hardcover Removal 0 Septic 0 Water Connection <br /> � Foundation Waterproofing � Other(specify) p Fireplace 0 Sewer Connection <br /> Framing 0 Masonry CI Lawn Irrigation <br /> insulation Q Mfg. Q Landscaping <br /> L� As-Bui14 Surve�r � Other(specify) <br /> Final <br /> [7 Lathe Rec�u�red State Feemits <br /> 0 Other(specify) <br /> 0 Vt►ell Electrical <br /> REhRA�ECS (in-house): <br /> OFFICI�L E�E[��RKS-Tt? BE FiOTE� ONE PER�iT kt�D i�IT1/�LLED: <br /> E� See BuiEder�cknowiecfgement FoQ �� i�� � �F � � � o r � <br /> �Prior to release of escrow money • <br /> Updated: October 2015 <br /> r\fnrmclnlan rPviawrhorklict 1r1_9f11F rinnv <br />