ADDITIONAL PERMITS, APPROVALS, AND/OR REVIEWS REQUIRED
and APPLICANT'S SIGNATURE

(from MMA's Handbook for Local Planning Boards: A Legal Perspective, August 1982, rev. 1991)
prepared by Rebecca Warren Seel, Senior Staff Attorney

This Maine Municipal Association publication is presented for "Classroom Use Only."  Its intended use is to stimulate and aid in discussion and role playing within a classroom setting.

CHECK IF REQUIRED:

___PLANNING BOARD REVIEW/APPROVAL (e.g. Subdivision, Site Plan Review)

___BOARD OF APPEALS REVIEW/APPROVAL

___FLOOD HAZARD DEVELOPMENT PERMIT

___EXTERIOR PLUMBING PERMIT (Approved HHE 200 Application Form)

___INTERIOR PLUMBING PERMIT

___DEP PERMIT (Site Location, Natural Resources Protection Act)

___ARMY CORPS OF ENGINEERS PERMIT (e.g. Sec. 404 of Clean Waters Act)

___OTHERS

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NOTE: APPLICANT IS ADVISED TO CONSULT WITH THE CODE ENFORCEMENT OFFICER AND APPROPRIATE STATE AND FEDERAL AGENCIES TO DETERMINE WHETHER ADDITIONAL PERMITS, APPROVALS, AND REVIEWS ARE REQUIRED

I CERTIFY THAT ALL INFORMATION GIVEN IN THIS APPLICATION IS ACCURATE. ALL PROPOSED USES SHALL BE IN CONFORMANCE WITH THIS APPLICATION AND THE SHORELAND ZONING ORDINANCE. I AGREE TO FUTURE INSPECTIONS BY THE CODE ENFORCEMENT OFFICER AT REASONABLE HOURS.

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APPLICANT'S SIGNATURE

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DATE

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AGENT'S SIGNATURE (if applicable)

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DATE