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Overage Lakeshore Setback <br /> Shoreland District It Ctf D PermitMet? Bluff <br /> 0 Yes <br /> Lei Yes 0 No Permit Number: p <br /> 0 Yes 0 No N/A <br /> `+ o <br /> 0 N/A-see attached Setback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> (circle one) (% and sf) (%and sf) <br /> Yes 0 No 0 Yes 0 No <br /> 1 2 3 4 5 ype(s): Type(s): <br /> Fees to be Charged YES NO <br /> Permit Rr <br /> Plan Review pti,....., <br /> State Surcharge i°o <br /> investigation Fee <br /> SAC Number of SAC Units <br /> Other(specify) <br /> Square Footage $per Square Footage _ <br /> Basement E/i-& X PO. 0 _ = $ IT 5;1 O <br /> 1st Floor ZOC93 X /00. - = $ TAD- 8 , lb <br /> 2"d Floor /O X �0,2_41, = $ ,t ) O f , O 8 <br /> Garage f"t "r%at, 1/4,5 x 30-5P = $ 4f5"i 0..5a 0 <br /> c <br /> Estimated Construction Value: $ 5-4k7' 3� - `°� <br /> Orono inspections Required Work Requiring Separate Permits <br /> Footing 0 Site >Cr Plumbing 0 Grading/Filling <br /> Poured Wall Silt Fence/Erosion Control Mechanical 0 Fire <br /> Foundation Survey 0 Hardcover Removal 0 Septic 0 Water Connection <br /> Foundation Waterproofing 0 Other(specify) FireplaceSewer Connection <br /> Framing 0 Masonry 0 Lawn Irrigation <br /> Insulation Mfg. 0 Landscaping <br /> As-Built Survey 6 Other(specify) <br /> Final _ <br /> Lathe Required State Permits <br /> 1 U Other(specify) <br /> i)/Well Electrical <br /> REMARKS (in-house): <br /> OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED: <br /> (See Builder Acknowledgement Form <br /> 1:1.Prior t ease o `e s-built suer hardcover,Galeertabe usibe-stibarisitted and approved. <br /> Updated. October 2015 <br /> 7\franc\nlan rPNIPVJ ncprkliet 9r129(1 rinry <br />