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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 /> �,�I� Completed Application <br /> .�t • { <br /> � Plan Review Fee Paid <br /> �����,(,� ���'�Vl l���Ce <br /> Si ned Escrow A reement & Escrow Pa ment lU r�- ,�� �,�c�-� ��' <br /> 9 9 Y <br />� <br /> ��� Building Plans (to scale) x2 <br /> `'�,,..�' �='2� �, ��,��?Gt L��- f--" <br /> �� Certificate of Survey (to scale) showing the proposed project & <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 /> ,nA ' the proposed project does not trigger their permitting <br /> 1�`' <br /> requirements). I will contact the MCWD at 952-471-0590 <br /> regar ' i <br /> Signed by: � �.����-�— <br /> Address: yo ,j r�,r�s _ 5'. �r.�,Ht�,� 3 <br /> Permit #: ZQ�G�— Q �j� <br /> Packet Last Updated: January 2015 <br /> Page 2 <br />