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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 /> IICompleted Application 0 k <br /> Plan Review Fee Paid ID <br /> k)-)` 0,543- <br /> r/M201-c-Au‘ 1(' k <br /> / <br /> .V 700A ' k)Dk c\ <br /> Signed Escrow Agreement & Escrow Paymentd` <br /> 41\C)L. i _,,_,\y. <br /> ve- raw <br /> Ao QIP ©.' C <br /> t'`V <br /> 0.- <br /> Building Plans (to scale) x2 <br /> Certificate of Survey (to scale) showing the proposed project & <br /> • <br /> meeting all requirements x2 0' <br /> ,,1 a ff8( '1‘7- <br /> °" <br /> • Hardcover Calculations (if applicable) ,�'C',`� Sr�l C \�� <br /> I am aware that Orono will not issue a building permit without a % =I <br /> rgcopy of MCWD permits (or documentation from the MCWD stab <br /> the proposed project does not trigger their permittingc r <br /> requirements). I will contact the MCWD at 952-471-0590 e 1 - <br /> regarding this project. <br /> Signed by: / - At „ _ _. <br /> Address: 9/6v 13Atkmart, gc., Y .Sul-c. (aZ aot:(G..(_, AAA S l/-i% <br /> Permit #: <br /> Packet Last Updated: August 2015 <br /> Page 2 <br />