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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 /> Completed Application �' � <br /> c� 2�� j <br /> Plan Review Fee Paid � <br /> . . aL�t,�°�` ��..Q� <br /> � � �,� -�o <br /> Signed Escrow Agreement & Escrow Payment <br /> � Plans (to scale) x2 <br /> �� <br /> PS�� �`" <br /> Certificate of Survey (to scale) showing the proposed project & ���° �� <br /> meeting all requirements x2 �j,�� �`� <br /> �C� ' <br /> U�``� ._�� <br /> �—, Hardcover Calculations (if applicable) �� <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 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 /> Signed bY� ���i�� ���'l�S ����'V���1 � ��.r�,oC�vrti�(���. <br /> Address: ���3 [T�- {1dlv��;inJ �v�. �� �p �S � �� 0� <br /> Permit #: �,�j � �� —� I 0 I� <br /> W:\Applications,license or Permit Applications\Zoning Applications\Permit Appfication Completeness Checklist 2015.docx <br />