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' ' Permit Application: Self=Checklist for Completeness <br /> Piease note, the appiicant must initial in the boxes below to acknowledge the minimum ` < <br /> requi�-ed information is included witt� the submittal. If not, the'application'anriil�NOT�e. <br /> accepted. Call 952.249.4630 to schedule a meet�ng with staff if you have question�;on <br /> � application submittal requirements. <br /> ���' Cornpleted:APPlication � <br /> . . <br /> ; <br /> . . . -., . x <br /> � p�� Pian Revi�w Fee Pa.id ' <br /> , <br /> _ � :� <br /> � , <br /> , � � : �_ .� �� . �� <br /> ; . <br /> . . <br /> : . > �. : . . � � s:� � � <br /> _�� � <br /> , ; . <br /> . � � <br /> , �, � � � <br /> � <br /> . : , <br /> �w�'' � Signed Escrow Agreer�ent &.,Escrow Pa,y�n+�nt; � <br /> , _ <br /> _ � . ,_ <br /> _. - � : � <br /> .. <br /> � . , _: . : <br /> . _. <br /> .. , <br /> . .. . : <br /> _ r.. �. , � � . . <br /> :���.� � <br /> ; � � <br /> . <br /> , , ����Iding�P�a�ns (to�s�1ej �� <br /> , . <br /> , <br /> 4 �� C�rtifcate of�S�urvey�(�o s�����-���ririg ��e p��po�d pr���Ct��'& <br /> ; �� { �i�eti�g ail �r�q�i�e��n� ��� �; i ` , � � <br /> .�� <br /> �• _ �^' � � � "` ` � , <br /> ��R s' } 3 �f�,' f� <br /> � ` ��� — t ,��" -� zy� r#�` x�' � t r,— <br /> ,� _ �lar�cover.E�lcul�tiQ������,;���i�i���� �} $ . � n � <br /> _ <br /> ,x: � ,� t � <br /> , , . <br /> . , . <br /> . . �_, <br /> k.� tr' ���G �, ~� � �2� ,.! :x� � � � <br /> I a�n aware ��at:4ro�a w�� nd�;�ssu� a �ui�d������r�a���t��h�u�.� :- � : <br /> ��,�,, copy of MC1�l�fper���s-����o��m�r��a�ic�n ��r�r�����HC1��°��'�����° � <br /> £ � � <br /> the�proposed pro��ct�-���s��no�����t�ger�tl��ir �e.�r����i�r� }r" }� ,� � <br /> � iK <br /> A <br /> requ,iremen�s), I wil� con�ct �ti� MC1�l�:a� 95� 47�. 4059Q , <br /> reg r 'i� this prQ'e�t. < <br /> Signed�bY: �C� � �,�/ ` �� - <br /> Address: fo d '7 y� Cr�-�..,.� f� �; �,,�� � �� 3�'�: <br /> � Permi��#� � � � ` � _ <br /> �� � � ��tE��1V��� <br /> Packet Last Updafed: January 2015 3 S ,,( � ��016 <br /> Page 2 , <br /> CITY OF ORONO <br />