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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 <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 /> EllCompleted Application <br /> C)C ' <br /> 1AP 3Plan Review Fee Paid <br /> Signed Escrow Agreement & Escrow Payment <br /> - 0 5 --lock 4_ Ca L(_.1 N .3 <br /> 0( <br /> Plans (to scale) x2 0/ <br /> 171Z <br /> Certificate of Survey (to scale) showing the proposed project & VY <br /> meeting all requirements x2 <br /> 0k 004)12 <br /> Hardcover Calculations (if applicable) A/A— (� &OA VY <br /> ‘ <br /> I am aware that Orono will not issue a building permit without a V-` �' 6/ <br /> copy of MCWD permits (or documentation from the MCWD stating `G - coy <br /> r .e <br /> the proposed project does not trigger their permitting w gr o; 5(0( <br /> requirements). I will contact the MCWD at 952-471-0590 <br /> r-gakdtavit t prpj ct. <br /> Signed by: go , /Kr (_ -16)--,1 ..- <br /> Address:(k--(o 01-ck ,,() _L -oa e( <br /> Permit #: - t7 ( "7 C <br /> 12,01 f� Q <br /> Packet Last Updated: August 2015 <br /> Page 2 <br />