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��� : Permit Ap�lic�ti��: Self-Checklist for C�mp��t��es� <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 (VOT 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 /> �,,r <br /> � Plan Review Fee Paid <br /> � <br /> .y-,. <br /> ,�. <br /> d <br /> Signed Escrow Agreement & Escrow Payment <br /> � <br /> , <br /> ��� <br /> ,�.; � Building Pfans (to �cale) x� <br /> � -- <br /> � �, <br /> � .. <br /> �rtificate of Surrrey (to scale) showing the proposed project & <br /> rneeting �!I requirements x� <br /> � <br /> p Hardcover Ca�ct�Eations (if appficable) <br /> I arz� aware that Qrono will not issue a buil�ing permit without a <br /> %copy of f�CVV� perrnits (or documentation from the MC11�D stating <br /> ` the prapose� praject does not trigger their permitting <br /> requirement� . I v�ril� con�act the MCWD at 952-471-0550 <br /> regarding �i� r 'ect. <br /> Signed by: � :r' -- �� � <br /> � -, <br /> �ddress: ���i'�` `: r � y - `' /,''/' ``'�/j( <br /> �� V`°—�„��.�� � -���� Y rf U ! <br /> � Permit #: �v f��-p� � � <br /> � <br /> �' <br /> � Packet Lasf Updated: January 2015 <br /> �;; Page 2 <br /> �;' <br /> z <br /> �q-,��� � � �* ��` 'n�°'��` �� �` �-��� � . � "� �''. - <br /> . r <br /> k� r d -� ��i j,� ��""`�3' .�s�t'`��.`=.3:��:.��'�a' , �.��` sk,r���w� ' . _�s-� ._ .... . _.,s» . ,`'�,. ��r.�. ��,��. <br /> ,.n."'��es��..�� _�v�,�r,.s�.a-,.��:�_�; t�.+.�"��"'��,E�,�e�m <br />