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i <br /> Per -it Application: Self-Checklist for CompletenessPlease 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 952.249.1620 to schedule a meeting with staff if you have q - ons on <br /> application submittal requirements. <br /> [ Jt <br /> Completed Application ' <br /> ._,...7tp <br /> 1 1.,4 ct 34.2e, <br /> , s Plan Review Fee Paid v r-- <br /> or <br /> ,, .f� ,�� Yom``- �,� <br /> i <br /> 3 <br /> !2r ei J ; \ `y --( t'N'.� <br /> ` l <br /> ; 5 Signed Escrow Agreement & Escrow Payment <br /> a <br /> Building Plans (to scale) <br /> (pix <br /> per ptc.._, Z.i3ICI ccioi ec <br /> \ Certificate of Survey (to scale) showing the proposed project & ' <br /> fl �� t' ' meeting allrequirementsi <br /> 0 le per 1,116- l c c(c "t-c. ci fro f` <br /> 1 tv iros 1 •Hardcover Calculations Of applicable) f, <br /> t 14 <br /> ii <br /> I am aware that Orono will not issue a building permit without a <br /> copy of MCWD permits (or documentation from the MCVVD stating Ark <br /> the pro pro ect does not tri er their145 j � permitting 1' �� <br /> `a requirements). I will contact the MCWD at 952-471-0590 <br /> regarding this Preject. <br /> Signed by: _ : , 5../1.. _- soil) <br /> Address: zi ?..,. tx la.4 t°1.. .ti 4w -v� <br /> Permit #: <br /> Packet Last Updated. January 21)15 <br /> Page 2 <br />