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Permit A�plication: Self-Gheckiist for Campleteness <br /> Please note, the appiicant must initial in t�e bc�xes belaw to acl�nowledge the minimum <br /> required information is included with #he submittal. If not, the appiication wili NOT be <br /> accepted. Cali 952.249.4620 to scheduie a meetirt� with staff if you have questians on <br /> application submittal requirements. <br /> �� Completed Application <br /> , � � � <br /> . . � �� ,� <br /> Plan Rev�ew Fee Pa�d � ��;,� `' <br /> ���� � <br /> � -����w�-� �� N� �,,, � � �ro1� . <br /> 1� � �1 � <br /> � Signed Escrow Agreement & Escrow Payment <br /> ����l.� � <br /> f <br /> Buildin Plans �to scale} x2 v <br /> ��C 9 � <br /> � <br /> ��G`� <br /> � Certificate of Survey (to scale) showing the proposed projec�& <br /> meeting all requirements x2 <br /> i" <br /> J Hardcover Calculations (if applicable} ��' r" <br /> � <br /> ��-� <br /> I am aware that Urono will not issue a building permit without a �n�'," <br /> c o p y o f M C W D p e r m i t s (o r d o c u m e n t a t i o n f r o m t h e M C W D s t a t i n gr� <br /> �`��C the proposed project does no# trigger their permitting �� <br /> requiremen ts}. I wi l l contact t�e M G W D at 9 5 2-4 7 1-0 5 9 0 <br /> rega ingethi�ject. <br /> Signed by. ��— <br /> Address; ��Ct ,�r� �-. �. / � - � �,,, .y � <br /> Permit #: �O �� ���� -7 •� <br /> Packst Cast Updaiscl: August 2t]?5 <br /> Page 2 <br />