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� <br /> 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 /> Completed Application <br /> (�,} Plan Review Fee Paid <br /> � <br /> f Signed Escrow Agreement & Escrow Payment �j y au��� <br /> Building Plans (to scale) x2 <br /> � Certificate of Survey (to scale) showing t pr posed project & <br /> ' meeting all requirements x2 � �,� <br /> �x i S T' T��`�JG��h�, <br /> � <br /> �j� Hardcover Calculations (if applicable) �l� G <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 /> t�" the proposed project does not trigger their permitting �a ,�X�,�4�.� <br /> requirements). I will contact the MCWD at 952-471-0590 <br /> regarding his proje � . r /J /� <br /> Signed by: '' �aU 6�r r (3j d C.-'`r Jp <br /> Address: sy�' "� 33 t <br /> Permit #: �0!(P —D/ 3 3�o <br /> , <br /> Packet Last Updated: January 2015 <br /> Page 2 <br /> �I <br />