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DocuSign Envelope ID:D095C6FC-BC6B-4772-8A5D-E021DAF4D0C8 <br /> 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 /> crPlan Review Fee Paid <br /> Signed Escrow Agreement & Escrow Payment <br /> Es <br /> Building Plans (to scale) x2 <br /> 0 ertificate of Survey (to scale) showing the proposed project &,_c__ <br /> meeting all requirements x2 <br /> Hardcover Calculations (if applicable) <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 /> — the proposed project does not trigger their permitting <br /> requirements). I will contact the MCWD at 952-471-0590 <br /> regarding this project. hstppl--Q— .ar Uf/u ) re <br /> Signed by: <br /> Address: 2635 CASCO POINT RD, ORONO, MN 55391 <br /> Permit #: c / Vs gr- <br /> Packet Last Updated: August 2015 <br /> Page 2 <br />