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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 <br /> required information is included with the submittal. If not, the ap�lication will NOT be <br /> accepted. Call 952.249.4620 to schedule a meeting with staff if you have questions on <br /> application submittal requirements. <br /> r ��, Completed Application �:��"�� <br /> � ��`� <br /> G� ���� <br /> �'�) Plan R�eview Fee Paid �;r� C � �� <br /> � � <br /> G�' �1- -���� - ( c� <br /> _ (r.f�C�� ,Y.� ��� � , L,,r L -�� <br /> .� .,�,��� <br /> ��� Signed Escrow A reement & Escrow Payment '`�" ' ' <br /> c �rty ��s , <br /> � Building Plans (to scale) x2 ! <br /> ���L� <br /> ���, Certificate of Survey (to scale) showing the proposed project & �:'� <br /> meeting all requirements x2 <br /> 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 �'{ `f �� � ✓ <br /> regarding�t�his p oj _ <br /> Signed by: � ' <br /> Address: ,� �-f � a �, � i � ;� � ,�-�,� <br /> Permit #: �, �; I � �- bG 3 � 1 <br /> ��� <br /> Packet Last lJpdated: August 2015 <br /> Page 2 <br />