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1 \ <br /> Permit A�plication: 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 notR 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 /> �. <br /> �� Completed Application <br /> N w Plan Review Fee Paid <br /> �� Signed Escrow Agreement & Escrow Payment <br /> 1,� �-r�} �v�r-� 7 v��. �-!?�c�.<<-w-n����1 <br /> �� Plans (to scale) x2 <br /> Certificate of Survey (to scale) showing the proposed project & <br /> �`�`� meeting all requirements x2 <br /> �w Hardcover Calculations (if applicable) <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. � p�c_�`,-� --��� <br /> Signed by: �`.�� <br /> Address: �C�,y�'j �-ASc-��� � �; 1� � � k-� ►.l� <br /> Permit #: �D! (p — D/ o� 5,7 <br /> W:\Applications,License or Permit Applications\Zoning Applications\Permit Application Completeness Checklist 2015.docx <br />