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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. �i{� _ a� !� � ✓�lc�r�ire. r <br /> � �ers��`�err � rz�-F� �l�vv� -+-�b� <br /> �2 � r �°�' y� ee ��,a�.- <br /> � <br /> Completed Application � �`� �� 5� ' n <br /> �'o� � � cc���- ����d�. <br /> 5 c� � <br /> r-� <br /> � �w PP <br /> Plan Review Fee Paid �d �� <br /> �t3-�-I'Z .��J''w1l`�S�(rl 6V� �zo Ilo-�Z!' <br /> �-�j Signed Escrow Agreement & Escrow Payme� P�� �-��-�`{ � <br /> -�-s�`j w i < < �--�� ,�� �f � <br /> C�l� � ( `-� �P��ca.E�f ��f r�-• `� �-�'�S <br /> Building Plans (to scale) x2 p�� <br /> rtificate of Survey (to scale) sh�varin�he proposed project & <br /> meeting all requirements x2 � <br /> c�"`� <br /> Hardcover Calculations (if applicable) �"�� <br /> I am aware that Orono will not issue a building permit without a Cr`���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 952-4 1-0 0 <br /> re rdi g is o' � , �. <br /> Signed by: r <br /> . <br /> Address: �/ � � , <br /> Permit #: �1(p — � Z( � J'�J�c � •-�--1 orv�� <br /> 2 01� -- Q O 2 L S C� �-r�� <br /> PaCket Last Updated: August 2015 <br /> Page 2 <br />