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. ��r�i� ����ic�t��n: S���-G��ck�cst ��� C����ete��ss <br /> Please note, the applic�nt must initial in the boxes �elow to ac�r�owiedg� �he minimum <br /> required 'onformatior� is included �nrith the submsttal. If nQt, the �pplEcatpan will (��T be <br /> �cc�pted. Call 952.2�g.4�20 ta schedule a meetir�g �ve�h s��ff i��au hav� c�uestions �n <br /> � <br /> application submittal requireme�ts. <br /> Compieted ApRlieation <br /> �� <br /> � Pl�r� Rev�ew Fee P�i� <br /> � / <br /> � <br /> �igne� Escro�� /��re�ment � Escrov�r P��nlent <br /> _. �'` <br /> �r` �uilding Plans (to scale� �2 <br /> �� <br /> �; <br /> � F j C�rtifcate a�f Surwe�r (t� sc�le) showing �he pr�p��sed pro�eet � <br /> � % m��ti�tg aPP re�t�irements x� <br /> � <br /> � <br /> .�� <br /> , <br /> � F�a�dc�ver Ca�e�lati�ns �i� applic�b6�) <br /> I �� aw�r� �I��t ����� �rilB ��t �ss�e a b�ifd��g p��°r��� v�ithout � <br /> ' eopy c�f �6Ci�'� perrnit� (or �ac�ment��io� fror� the MCt�� stating <br /> ��e �rop�sed pr�jec� ��es na� trfgg�r �h�ir p��rrt��ing <br /> re�uiremer�ts)a I r�il� c�nt�c� the ��V��� �� 95�-��1-0590 <br /> �-e�ard'ong this pra���. <br /> Signed �-���. .. „CC-''�-�~ - <br /> Rdar��s: � �C `C� �' :�L- � "� ',.��.-� ;,'� <br /> Rermi� #� j r� � C.� - �"� � �� � <br /> �::- <br /> Packet Last Updated: April 2016 <br /> Page 2 <br />