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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 /> Completed Application <br /> FAPlan Review Fee Paid 4- i <br /> Signed Escrow Agreement & Escrow Payme l ! " / <br /> Plans (to scale) x2 <br /> ElCertificate of Survey (to scale) showinthe proposed prct & <br /> meeting all requirements x2 <br /> Hardcover Calculations (if applicable) <br /> (IL.&" <br /> I am aware that Orono will not issue a building permit without a <br /> copy of MCWD permits (or documentation from tie 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: <br /> Address: I G C' _5_:', 1 i ci A (or- f 7 2_ <br /> Permit #: ` -- c (-J- cc, -,-7 ,.3-7 <br /> W:\Applications,License or Permit Applications\Zoning Applications\Permit Application Completeness Checklist 2015.docx <br />