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111 <br /> Permit Application: Self-Checklist for Complete <br /> Please note, the applicant must initial in the boxes below to acknowledge the mini reqUfiV00 <br /> information is included with the submittal. If not, the application will NOT be accepted. <br /> 952.249.4620 to schedule a meeting with staff if you have questions on application submittal <br /> requirements. <br /> IMCompleted Application <br /> r <br /> �- ✓ .- - is <br /> Ar Plan Review Fee Paid ,---,,�p Z2 <br /> •... <br /> Signed Escrow Agreement & Escrow Payment <br /> 9 9 Y <br /> 6) I �, Building Plans (to scale) x2 <br /> Certificate of Survey (to scale) showing the proposed project & <br /> /91 meeting all requirements x2 <br /> (------ -, <br /> Hardcover Calculations (if applicable) <br /> ,i <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 proje foes not trigger their permitting <br /> requireme. 4 ill contact the MCWD at 952-471-0590 <br /> re and -rf'�'�"pro" <br /> g t <br /> Signed by: 411476 (.....4 ,c„ J Yowl L4-7 <br /> Address: / / WI avis /gam jr01, <br /> Permit #: Zo 15— cC_L1 Z(� <br />