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Fe�s to be Ghar ed YES NO <br /> P�r�sit , <br /> Pl�n Review <br /> S#a#e S��#tat�e <br /> InvestiB�ticn Fee <br /> S�C-1��[rxtber a#SI4C U�if;s <br /> Sewer Connec�ion <br /> �1y1a#er Cnr�ne�ion _ , <br /> Park Fee <br /> Site:�#ts�ec��on � - . <br /> Other(specify) <br /> 1�fisc�la�reo.us Fees <br /> CaicuEated.By: , <br /> S uare Foota e � er S uare Foota e <br /> Basement X = � <br /> 1�Floor X = $ <br /> 2"d FlOor X - $ <br /> Garage X - � _ <br /> Estimated Conshuetion Value: $ ��b40 O0 : <br /> Orono inspect�c►ns Required 1lhlork Requir6ng Separate Permits F�equired State Perrr►its <br /> Cf Site -0 Plumbing � Grading/Filling � Well <br /> � Hardcover Removal G Mechanical � Fire Electrical <br /> Footing � Septic � Water Connection <br /> [1 Poured Wail 0 Fireplace Ci Sewer Connection <br /> � Foundation Survey � Masonry G Lawn lrrigation <br /> �t� adon Rock Bed C� Mfg. <br /> raming 0 Other(speci#yj <br /> lnsula#ior� <br /> G As-Bui1t Survey : <br /> Finai � <br /> ��O##�er(specify) <br /> REMARKS (in-house): <br /> Qther Revi�w: Reviewed by: Date Approved: <br /> Access�Existing: C� YES Q NO New: � YES Q NO <br /> REfViARKS(TQ BE NQTED QN P�EE�ttiffElT�tMD IP[ETI�►LLED BY PERSQ�! F�ULLlNG RERMiT) <br /> The following are required prior to refund of$2500 bldg permit escrow: <br /> � Wetland buffer planting plan. <br /> � As-built survey showing buffer and buffer mitigation area. <br /> Updated: 09/11/2009 c $1500 buffer escrow. <br /> z�\formslplan review checklist.docx <br /> (initials) <br />