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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 required <br /> information is included with the submittal. If not, the a�plication will NOT be accepted. Call <br /> 952.249.4620 to schedule a meeting with staff if you have questions on application submittal <br /> requirements. � _ _ _ <br /> �TI-��� ��'� 1 1 <br /> j �'�rt-1��-� c�-�-- CU�� � � 1 <br /> , Completed Application � l� --� <br /> 1 , � � I� � <br /> ��. �e�-f-.�,i' YYi, �C�� �C�Y� <br /> c P� ___ _ <br /> �- Plan Review Fee Paid �� <br /> �-�'� <br /> ;� I � ��, r��� � <br /> ��' Signed Escrow Agreement & Escrow Payment �� , <br /> �� -� Building Plans (to scale) x2 � ��- <br /> Certificate of Survey (to scale) showing the proposed project & <br /> ���- meeting all requirements x2 � l� <br /> � �S � <br /> G,� <br /> ���k; �;F�� �lV�����(`� �-.� <br /> , -- Hardcover Calculations (if applicable) GG� ' ���\ � �� '� <br /> �� 5 <br /> C�`���� �C�c� <br /> I am aware that Orono will not issue a building permit without a <br /> copy of MCWD permits (or documentation from the MCWD stating <br /> � �;- �he proposed project does not trigger their permitting <br /> requirements). I will contact the MCWD at 952-471-0590 <br /> regarding this project. <br /> - <br /> , , - � . <br /> Signed by: _ - --.--, —— � , <br /> , �— - <br /> Address: �7��� � �o�2c;u v� �j rLr��z-, �i a��n�.�., 1"l�i <br /> � <br /> Permit #: a�; f (�— �^� � � � <br /> Last Updated: January 2016 <br />