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2011-01360 - land alteration
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0085 Old Crystal Bay Road South - 04-117-23-21-0004
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2011-01360 - land alteration
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Last modified
8/22/2023 3:11:26 PM
Creation date
3/21/2018 11:11:51 AM
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x Address Old
Address
0085 Old Crystal Bay Rd S
Document Type
Permits/Inspections
PIN
0411723210004
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Planning Review Checklist for Zoning Permit Applications <br /> Page 2 of2 <br /> Cubic Yards <br /> In Out Total <br /> Haul Route? ? ❑ yi" 0 No <br /> Explain haul route in detail: c`—`- - <br /> 5u I V 1 )��1 I I � ($ \-e 1-- q "LOCz <br /> a NIQ1h C42p U COM' <br /> Fees to be Charged Amount Orono Inspections Required <br /> Permit Amount <br /> 0 0 Site <br /> Escrow Amount P-ile-144 t 0 Hardcover Removal <br /> a-''A k f -. �- OD 0 Footing <br /> Signed escrow receive '? �ht ❑ Poured Wall <br /> �� \-• ❑ 's-Built Survey <br /> Yes 0 No ,*,10'1/`' A Planting Plan <br /> etland 4 ��v <br /> Escrow amount receive ? 1` inal <br /> (PZ1,W11>tb1 ' A1es 0 No 0 ether (specify) <br /> Engineering review needed? <br /> &/es 0 N <br /> REMARKS an-house): dU 'u S at &L 0J <br /> P-(0-10 0, lievu ob-- <br /> Other Review: Reviewed by: Date Approved: <br /> REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) <br /> J��Ck► Al 4 cet d-t itio� -{Zt <br /> �� ,tLS G�c of vt csl/` b>A/� V- <br /> �P/' �C (D J e tC 4 <br /> J N c4 r" 6 v I'2W) <br /> Created: March 29,2011 <br /> z:\forms\plan review checklist for zoning permit applications.docx <br />
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