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' � �sc i�J:✓' <br /> � 7��0: C� o �o;,� ✓( <br /> f;���„ o;���f <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 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 /> i, <br /> �' Completed Application <br /> � � w� �� <br /> Plan Review Fee Paid <br /> i <br /> ��� G► � l(o ��' � <br /> �, Signed Escrow Agreement & Escrow Payment � <br /> i <br /> Building Plans (to scale) x2 , C� <br /> � <br /> � �� <br /> Certificate of Survey (to s showing the proposed project & <br /> meeting all requirements�x2 S�'�j��c� / <br /> 3t� � �;)� �� �'�� ��� I.��Ke � s���'7-�' hr�E�-ls <br /> � �O ��1' 'vv�eGt�vi�%'("j <br /> Hardcover Calculations (if applicable) � <br /> -� <br /> ��� G��a�- <br /> c ��� �-►���L I am aware that Orono will not issue a building permit without a <br /> �j�- 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. <br /> � __ �e--= - <br /> Signed bY: '`�_� _--_-__" _f_- _-_------ <br /> Address: � � �D �`�E-��`� � � <br /> Permit #: � U �Cr — �� <br /> Last Updated: January 2016 <br />