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Shoreland District MCWD Permit Average Lakeshore Setback g�uff <br /> M et? <br /> � Yes <br /> �es � No Permit Number: 1� - �'L Yes 0 No � N/A No <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 /> a Z�j Y���a�;�,;+ p Yes No � Yes No <br /> �1 2 3 4 5 �� � � , <br /> �. , . l `. TYpe�S)� TYPe�s)� <br /> a � ' + <br /> r' . ����.'.. . . <br /> Fees to be Char ed YES NO <br /> Permit <br /> Plan Review <br /> State Surcharge <br /> Investigation Fee <br /> SAC- Number of SAC Units <br /> Other(specify) <br /> Square Footage $ per Square Footage <br /> Basement X = $ <br /> 1 S� Floor X = $ <br /> 2"d FIOOr X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ � �0, ���� <br /> Orono Inspections Required Work Requiring Separate Permits <br /> Footing ❑ Site Plumbing 0 Grading/Filling <br /> 0 Poured Wall ❑ Silt Fence/Erosion Control �Mechanical ❑ Fire <br /> � Foundation Survey ❑ Hardcover Removal � Septic 0 Water Connection <br /> 0 Foundation Waterproofing ❑ Other(specify) � Fireplace 0 Sewer Connection <br /> ; Framing 0 Masonry 0 Lawn Irrigation <br /> Insulation O Mfg. 0 Landscaping <br /> As-Built Survey � Other(specify) <br /> Final <br /> ❑ Lathe Required State Permits <br /> 0 Other(specify) <br /> ❑ Well Electrical <br /> REMARKS (in-house): <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: <br /> �See Builder Acknowledgement Form <br /> Pri - relea oney a ardcov lati � ed a <br /> Updated: October 2015 <br /> r\fnrmc\nlan rovia�ni nc�rklict 1(1_9f11 F rinrv <br />