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<br /> � � " Permit �! lica�ion: Self-Checklist for Com leten
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<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 wi{I fVOT be
<br /> �° accepted. Call 952.249.4620 to schedule a meeting with staff if you have questions on
<br /> �' application submittal requirements.
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<br /> ' Completed Application � ` , _ _ _
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<br /> Plan Review Fee Paid � � �y
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<br /> �= Signed Escrow Agreement & Escrow Payment �;�� ; . � ,�� � �
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<br /> Building Plans (to scale) x2 �,��.e,.�
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<br /> , - Certificate of Survey (to scale) show�ng the proposed pr��ect &
<br /> � meeting all requirements x2 - � �
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<br /> `y, Hardcover Calculations (if applicable) ���
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<br /> I am aware that Qrono wil! not issue a building permit without a
<br /> copy of MCV1�D permits (or documentation from the MCWD stating
<br /> � the proposed project does not trigger their permitting g�,.
<br /> ., requir�ments�. I �vil! eontac� the NiCi�1/a at g��-471-Q590 ��-� �'����-
<br /> regarding this project.
<br /> Signed by: -
<br /> �+ddress:
<br /> Permit #: � ��.� �;�„��;,
<br /> � ��
<br /> Packet Last Updated: January 2015
<br /> Page 2
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