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APPLICANTlOWNER ACKNOWLEDGEMENT: <br /> • Agrees to provide all information required or requested by the Planning Department; <br /> • Owner agrees to pay the City of Orono for engineering consultant review costs where applicable; <br /> • Certifies that the information supplied is true and correct to the best of his/her knowledge. The appiicant <br /> recognizes that they are solely responsible for submitting a complete application being aware that upon failure to <br /> do so,the staff has no alternative but to reject it unti!it is complete; <br /> • Acknowiedges the attached Escrow Agreemenk is comp�eted and signed by Owner; <br /> • Some or all of the information that you are asked to provide on this application is classified by State law as either <br /> private or confidential. Private data is information which generally cannot be given to the public but can be given to <br /> the subject of the data. Confidential data is information which genera!!y cannot be given to either the public or the <br /> subject of the data. Our purpose and intended use of this information is to annually update our records and records <br /> �� of other govemmental agencies required by law. If you refuse to supply the information,the application may not be ; <br /> I__ issued. __ <br /> The undersigned certify that the info tion supplied is true and correct to the best of their knowledge. <br /> Applicant's Signature: �?-«,C(.�, " i Date� 3 -- `I - 1 � <br /> 1� � � <br /> Property�wner's Signature: �.�`"-' Date: �'} � � � 1� <br /> TYPE OF PERMIT: SUBMISSION REQUIREMENTS: <br /> Except for tree removal permits, all permits require a completed apptication , <br /> form,escrow agreement(signed by the property owner)and escrow check '� <br /> j from owner,lwo copies of all ptans,and three copies of all grading plans or <br /> � surveys/site plans <br /> Residential Dock � Seasonal Dock—survey showing proposed dock <br /> I Permanent Dock-plans as approved by CUP and coQy of LMCD permit <br /> ' Comr»ercial Dock 1. Structural plans for the dock <br /> 2. Survey showing the proposed location of the dock ' <br /> ', ' 3. Copy of LMCD permit � <br /> Minor Land Aiteration 1. Grading plan including existing and proposed contours—.��� �f�-w��") , <br /> �: (Less than 10 cu.yds.within 75'of lake , 2. Amount of fi11 to be imported and/or exported and haul route- o � <br /> or less than 501 cu.yds elsewhere.) ', 3. Amount of earth to be moved around on site - �- � ��� y�5- <br /> � � 4. Erosion control lan or co of MCWD Erosion Control Permit_ ' <br /> , P PY 5�e or a.�.�+��; <br /> Major Land Alteration � plans as approved by Conditional Use Permit ' <br /> � 2. Erosion control plan or copy of MCWD Erosion Control Permit � <br /> Stairway to Lake ) <br /> � 1. Construction plans for stairway <br /> i � 2. Topographical survey of property with proposed stairs drawn in. '� <br /> � ' 3. Erosion control plan or copy of MCWD Erosion Contro! Permit <br /> Retaining Wall 1. Plans for wall{s) <br /> 2. U�less repair or exact replacement of existing wall, grading plan including I <br /> i existing and proposed contours � <br /> ; 3. Hardcover calculation worksheets if in shoreland district I <br /> 4. Erosion control plan or copy of MCWD Erosion Control Permit � <br /> ! Tree Removal � CaU 952-249-4600 to schedule inspection. <br /> I <br /> Structure Permit 1. Plans for structure. <br /> 2. Survey of property with proposed structure drawn in and with setbacks to <br /> property lines,pther structures on properfy and the septic system indicated. <br /> The general iocatian of any sewer and water services should be shown if <br /> applicable. <br /> ' � .3. Grading ptan if grading is required <br /> j 4. Hardcover calculation worksheets if in shoreland district ' <br /> � 5. Erosion control plan or copy of MCWD Erosion Control Permit _� <br /> � Last Updated October,2d10 <br />