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Permit Application: Self-Checklist for Com�leteness <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 /> ; <br /> � Plan Review Fee Paid <br /> , - ---- _ <br /> v igned Escrow Agreeme & Escrow Paymen� � <br /> Building Plans (to scale) x2 <br /> Certificate of Survey (to scale) showing the proposed project & 2 <br /> . <br /> meeting all requirements x2 (,(�l�� p��� <br /> fe v� se� Zo i � <br /> S��Y�5 <br /> Hardcover Calculations (if applicable) <br /> �l Septic (if applicable) A compliance inspection may be required. <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. <br /> Signed <br /> bY� /'�r. a- �wN <br /> � Address: � i.�Zn - � ��,�� �or�— n-d � �..���.�� <br /> Permit #: ,,2� ��-�3c� � 33 - <br /> FEB 10 �(1�� <br /> Packet Last Updated: January 2016 <br /> Page 2 t;��OF ORONO <br />