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Earth Movement-Cubic Yards <br /> In Out Total <br /> ; <br /> Haul Route? ? � Yes 0 No <br /> Explain haul route in detail: <br /> Fees to be Charged Amount Orono Inspections Required <br /> Permit Fee Amount �� <br /> 0 Site <br /> Escrow Amount L-�Jvv 0 Hardcover Removal <br /> 0 Footing <br /> Escrow Agreement received? 0 Poured Wall <br /> 0 As-Built Survey <br /> � Yes 0 No 0 Planting Plan <br /> � Wetland Buffer <br /> Escrow Money received? �,Final <br /> � Yes � No � Other(specify) <br /> Engineering review needed? <br /> � Yes No <br /> REMARKS (in-house): � � <br /> nve� a � ra r� r <br /> s���e c�,�ol.i�a� <br /> Other Review: Reviewed by: Date Approved: <br /> REMAF2KS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) <br /> �r;o� b C�S /1a� n c/i`G� <br /> {��I��'l�td.u(�l, �r- � o�rorcoC.. <br /> Updated:January 2013 <br /> z:\forms\old stuff�plan review checklist for zoning permit applications 2013.docx <br />