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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 Fd Lo I v s� <br /> Signed Escrow Agreement & Escrow Payment <br /> Building Plans (to scale) x2 Hav,<1 DfO_A�0- <br /> I Certificate of Survey (to scale) showing the proposed project & <br /> �` meeting all requirements x2 der c k 2 is <br /> El Hardcover Calculations (if applicable) �er c ►-,2 ) 5 <br /> I am aware that Orono will not issue a building permit without a <br /> 13 copy of MCWD permits (or documentation from the MCWD stating <br /> 13requirements). <br /> 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: <br /> Address: 2 5 y `T-h 0"ry��k b-y-ed l--A <br /> Permit #: '-2,D i to— C) (o La--1 <br /> Packet Last Updated., January 2015 <br /> Page 2 <br />