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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 /> ECompleted Application <br /> AlPlan Review Fee Paid <br /> Signed Escrow Agreement & Escrow Payment • <br /> .., r 7•`. —rvNe-v1-ouS I- <br /> 1-_-)__ c 1 <br /> l <br /> 171 Plans (to scale) x2 <br /> Certificate of Survey (to scale) showing the proposed project & <br /> meeting all requirements x2 <br /> 0 Hardcover Calculations (if applicable) <br /> I am aware that Orono will not issue a building permit without a <br /> TIIcopy 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 952-471-0590 <br /> regarding this project. <br /> Signed by: <br /> Address: I 3 C i -4) '-�►-c__, eA e - .- 1 V <br /> Permit #: c20) 3- Co a-o/ <br /> W:\Applications,License or Permit Applications\Zoning Applications\Permit Application Completeness Checklist 2015.docx <br />