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� Permit Application: 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 /> �� �� <br /> �- <br /> Completed Application �y�`" <br /> � <br /> Plan Review Fee Paid '�� � � <br /> �, <br /> � � � <br /> �,;�� �;"-, u���` � �� <br /> Signed Escrow Agreement & Escrow Payment 1��;� ��� � �� <br /> r�,'�+� <br /> r' ,-E -� �e�-�- �' ` i?-��' �-ea`�lJ' <br /> `� , ���ra � � J <br /> � Buildmg Plans (to ale) x2 ���� � � � � <br /> �� `� <br /> � �� <br /> ��� �� �� < <br /> � ,�,� ,, ��, r � <br /> Certificate of Survey �to��:�ie�showing the proposed project & '�p��� <br /> �' meeting all requirements x2 ����,��� <br /> 4.� �� <br /> � � <br /> � <br /> Hardcover Calculations (if applicable) �4_:�' ��R�'' ' ��� <br /> � <br /> � � <br /> I am aware that Orono will not issue a building permit without a ,,��� <br /> copy of MCWD permits (or documentation from the MCWD statin��c��C,p,� <br /> '� the proposed project does not trigger their permitting �� 1 <br /> requirements). I will contact the MCWD at 952-471-0590 <br /> regarding this project. <br /> Signed by: , � <br /> Address: �(�� C E�f 5i /v� <br /> Permit #: 1�= � �' — �'� � �" � <br /> Last Updated: January 2016 <br />