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T , <br /> Permit A�plication: 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 r' <br /> �r <br /> C�- <br /> R''' Plan Review Fee Paid yl�I l. —i o �1 .Z „-. i l� <br /> ��� Signed Escrow Agreement & Escrow Payment v�� S.�-c�-�o� � • Z <br /> G�-�y S�'g.f F yv i 1� �<<P q r� D n p a..'b'2, y t.� <br /> � 5.�. d, � }�a.�u� s _ Q�p� t c.-ec,�ia-, Pa�-��'- <br /> R�Q Building Plans (to scale) x2 ��..�.� s � �Py � �"�r �--� '' ��� <br /> �,P Certificate of Survey (to scale) showing the proposed project & � <br /> meeting all requirements x2 <br /> R,, ,p Hardcover Calculations (if applicable) s� ���� �� �� <br /> Ac,G�I . P �a N 5 <br /> ��M�-r <br /> ���-'� - `' `T am aware that Orono will not issue a building permit without a <br /> FO� copy of MCWD permits (or documentation from the MCWD stating <br /> p�Nn,,��, �i�P the proposed project does not trigger their permitting <br /> requirements). I will contact the MCWD at 952-471-0590 <br /> re arding this project. <br /> Signed by: �✓1.�J j�e���, - Ro�,�rt 7 Pt�-tr.-s,er� <br /> 5��, Address: lgg5 Cvnc.o�olio� �} , Dro.+o ✓n N 5�34i 1 <br /> Permit #: ��((o-- OC7 t.� �(� <br /> Packet Last Updated: August 2015 <br /> Page 2 <br />