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� � Permit Application: Self-Checklist for Completeness <br /> Pleas� note, the applicant must initial in the boxes below to acknowledge the minimum <br /> required information is included with the submittal. If not, the application 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 /> � <br /> Completed Application � �� �� <br /> -�- <br /> ,f Plan Review Fee Paid �' `� <br /> �� <br /> }� c�fd /'�'f UUG!/�'�' `� � � � a �Or <br /> Signed Escro��greem�er�t �E�sctrow Pa menet �� <br /> Y Xp <br /> � �� <br /> � y <br /> Building Plans (to scale) x2 ^c��r �� <br /> ��� <br /> Certificate of Survey (to scale) showing the proposed project & <br /> meeting all requirements x2 � `,������� � <<:a <br /> Hardcover Calculations (if applicable) ��'c��i�� ��� �`� <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 /> ;- � <br /> s the proposed project does not trigger their permitting <br /> requirements). I will contact the MCWD at 952-471-0590 <br /> re arding this pro� ct. <br /> Signed by: ` �-- <br /> Address: �� � ` � <br /> Permit #: ,.'�� ('`/ �7 .. �'�'C� C/� <br /> Packet Last Updated: January 2015 <br /> Page 2 <br />