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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 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. �� _ �,� �� ��� ���1,�1E� l av�r� <br /> ���� �r`���� ����--r-� � � ���-c�f e ��l nr� ����'ti'� <br /> � � �' ��'� � �� �a�,a-� <br /> � � ��- � <br /> L�'� Completed Application r �� �`,� t 5� ° <br /> � d�' b m ��r�— ���''�'� <br /> 5 �-�,..��X <br /> Plan Review Fee Paid �d -�r <br /> � �� �� <br /> �c�l--I� .�erv�i rf-s�(� �y� �zo��-co2,��} <br /> ��j Signed Escrow Agreement & Escrow Payme� ��-'f� ��-����� � <br /> `_l'��� �:� r ( � `�- � ��� i'�� �--�-w�-r�f � <br /> C�t�v�c:� � ( �c� ��p 4�cc�,�f� }�-f- r c�-� � ���S <br /> Building Plans (to scale) x2 �j�� <br /> ertificate of Survey (to scale) sh�varinq�the proposed project & <br /> meeting all requirements x2 � <br /> ��� <br /> � ��� <br /> Hardcover Calculations (if applicable) <br /> I am aware that Orono will not issue a building permit without a �r`�-��c�� <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 952-471-0 0 <br /> re rdi g is o' � , � <br /> Signed by: ' � � <br /> Address: .�/ ' � ���� ��� � � N � _ <br /> Permit #: ?��11.� — C�C�Z( �� �;�-'� � �-�--{ o vv�_ <br /> �'_ �� 1� -- G a 2 l S �� � �c���z-� <br /> Packet Last Updated: August 2015 <br /> Page 2 <br />