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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 application 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 /> C V- <br /> 10 Completed Application <br /> Plan Review Fee Paid <br /> f„,,,y11 1 S tl �9C b t 3L1 <br /> . � [I�� 2 C1 b <br /> Signed Escrow Agreement & Escrow Payment O" (R' /t),/ � <br /> r <br /> yes I pcinil <br /> Y Building Plans (to scale) x2 OV-,/ <br /> Certificate of Survey (to scale) showing the proposed project & <br /> El <br /> meeting all requirements x2 V i ..(2sild Frr crn <br /> ce. <br /> Hardcover Calculations (if applicable) l -1- <br /> I am aware that Orono will not issue a building permit without a till l( 6 <br /> / copy of MCWD permits (or documentation from the MCWD stating eta <br /> x 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: 4,4466 itibs <br /> Address: //2 - //v,sr, 5 re_____ <br /> Permit #: D I 4. _ o 13--15 <br /> Last Updated: January 2016 <br />