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Permit Appiication: 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 r <br /> �� <br /> � �=������t� <br /> °� Plan Review Fee Paid �C i��� � <br /> � <br /> � ,� <br /> .� �� ,,��������-�, <br /> Lr%�- `�- <br /> Signed Escrow Agreement & Escrow Payment �'�' � <br /> Plans (to scale) x2 ��� �� <br /> J <br /> �� Certificate of Surve to scale showin the ro ose ��� <br /> Y ( ) g p p d pro�ect & �, � <br /> � meetmg all requirements x2 � <br /> P, t�� <br /> \ " j '� •; �i1i <br /> ,� Hardcover Calculations (if applicable) `C�`��1��� <br /> t <br /> I am aware that Orono will not issue a building permit without a � <br /> copy of MCWD permits (or documentation from the MCWD statin �� � <br /> 9 C` ��r� <br /> � the proposed project does not trigger their permitting -�� <br /> requirements). I will contact the MCWD at 952-471-0590 �o� <br /> regarding this project. <br /> � ,. <br /> ' Signed by: �� � _� <br /> �___----. <br /> Address: ����� ;�^, ��,�"1�� ���� <br /> Permit #: �,v L �—��L, r --1 <br /> W:\Applications,License or Permit Applications\Zoning Applications\Permit Application Completeness Checklist 2015.docx <br />