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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 required <br /> information is included with the submittal. If not, the application will NOT be accepted. Call <br /> 952.249.4620 to schedule a meeting with staff if you have questions on application submittal <br /> requirements. <br /> 011 Completed Application <br /> il Plan Review Fee Paid <br /> 14.e (A) ‘F131/(1 <br /> I\ESigned Escrow Agreeme t crow Paymen <br /> as Building Plans (to scale) x2 <br /> ElCertificate of Survey (to scale) showing the proposed project & <br /> meeting all requirements x2 <br /> 111 Hardcover Calculations (if applicable) <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 /> the proposed project does not trigger their permitting <br /> eg I <br /> requirements). I will contact the MC y at 952-471-0590 <br /> regarding this project. <br /> if <br /> Signed by: /r_ <br /> Address: 02 k,e.J , / j40//2-7z- -/ <br /> `-g?LPermit #: . 0/7-6 / 4/ 96i- <br /> Last <br /> ast Updated: January 2016 <br />