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Permit Application: Self-Checklist for Completeness <br /> Please note, the applicant must initial in the boxes below to acknowledge the minimum <br /> required information is included with the submittal. If not, the application will NOT be <br /> accepted. Call 952.249.4620 to schedule a meeting with staff if you have questions on <br /> application submittal requirements. <br /> �,., Completed Application ��-' <br /> �, Plan Review Fee Paid � �� ,���,2�� <br /> � � <br /> S�-�'� <br /> .t/ �:��t�-� 1,����,� <br /> � Signed Escrow Agreement & Escrow Payment �'' �� �,C.- � <br /> �� <br /> Building Plans (to scale) x2 ,,�-= <br /> � Certificate of Survey (to scale) showing the proposed project & <br /> meeting all requirements x2 �,�' . <br /> �. Hardcover Calculations (if applicable) .�c�' ` <br /> ��" ° <br /> ` �,� �' �� <br /> I am aware that Orono will not issue a building permit without a�"� � <br /> � <br /> copy of MCWD permits (or documentation from the MCWD stating� <br /> the proposed�project does not trigger their permitting <br /> requirements). I will contact the MCWD at 952-471-0590 <br /> regarding this project. <br /> Signed by: �_ �� — C�u.�� G�,�n� Cd , L l. <br /> . <br /> Address: 3 Z.23 S-f4�DY t,umo✓� �.t etc�� , oCLo�.�.o , tvl�1 <br /> Permit #: � �-�`�--� , � <br /> Packet Last Updated.� August 2015 <br /> Page 2 <br />