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� <br /> . 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. <br /> ;' <br /> ` � Completed Application <br /> � � .� � � U �� � <br /> ��� � ^� <br /> PI �� � < < <br /> a n Review Fee Pa id � �,� , <br /> �� . U� � <br /> =;%� �,�a� � <br /> ^ :,� �` �.,s�� � <br /> r,,� � <br /> , i�� � <br /> . Signed Escrow Agreement & Escrow Payment � ������� ��1 <br /> �� � � <br /> Building Plans (to scale) x2 �� <br /> Certificate of Survey (to scale� showing the proposed project & ��� <br /> meeting all requirements x2 � <br /> .� <br /> Hardcover Calculations (if applicable) ���..�(,!_� <br /> k��� <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 ( �4� � <br /> �; the proposed project does not trigger their permitting ,���� �� �,�'' <br /> requirements). I will contact the MCWD at 952-471-0590 Z���v �-t�' �J,.�� <br /> regarding this project. �. `� �-� <br /> Signed by: �+%��`'� �� �j�0l��_ �� , <br /> Address: `' , O � � -a(`j i �1 <br /> Permit #: <br /> � . <br /> ______ � __�� -_ <br /> �,`--=,� <br /> Packet Last Updated: January 2015 — <br /> Page 2 <br />