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APPLICANT/OWNER ACKNOWLEDGEMENT: <br /> • Applk;anUOwner agrees to provide all inbrmation required or requested by the Plannfng Department; <br /> • Owner agnas to pay tha City of Orono for en�lneerin�consultent revlaw cosb whero applicable; <br /> • ApplicanUOwner cerdfies that the iMormation supplied is true and oomect to ihe best of his/her knowledge. The applicant recognizes <br /> that they aro solely responsible for submitting a complete applicatlon being eware that upan faBure�do so,the staff has no altemative <br /> but to reject it urrtt�tt is complete; <br /> • ApplicaM acknowledges the attached Escrow Agreement is�mpleted and signed by Owner, <br /> . Appllcarrt/Owner understands their projsct may require an Initlal and/or as�uilt surwy per Clty Code Sacdon 86�8. <br /> . Some or alt of the information that you are asked so provide on thls apaication is dassffled by State law as either private or c�onfldenUal. <br /> Private data is irdormation which generally cannot be given bo the public but can be gfven to�e subJect of the data. ConfidenUal data <br /> is intortnation which generally cannot be given to either the pubic or the subject aF the deta. Our purpose and irrtended use of this <br /> infom�ation is to annually update our r�rds and records of oth�govemmental agencies roquired by law. If you refuse to supply the <br /> ir�fom�ation the a ication not be issued. <br /> The undersigned certify that the' tio pp ed ' e d correct to the best of their knowledge <br /> Applicant's Signature: ;. .' +..•;����'�•'�Date:"• + `' �7 <br /> Property Owners Signature: � . Qate: <br /> . S'.1L <br /> ♦.. N. I`3 �1� .j i.•. <br /> 3UBMI ION RE EMENTS: Except for,tree . � I pe fls��a�-p roqulro a complated <br /> �d� � R� appil� nfprm,escrow agreamant(sign�bydii�rtyi�brlb a �row eheck from�vner,two <br /> •���t�� ���e�h�N��applN�bk�plens,IandscaP��W���1�9�P�s'v�,�►��or site plans. <br /> Dock,Commercial 1. Structural pls ,f�the dodc �w'��`w��!,^.�,..+.� .�:w�1 K;T 1,';.:. <br /> 2. Sunrey/site plan�sfi3Wthp C�e proposed�tldn'ormevQck � <br /> 3. Copy o�f LAACD pemitt <br /> Dock,R�IdeMia) Seasonal Dadc-,survey showing prnposer dq�� . ., ' .�e3►�..• <br /> Permanent Dock— ana ss Cll{�� <br /> HaMCOVYr�� 1. All Mirror or Msjor nd!�e��� n Pertnft�quirementa � ppNo� `' � � <br /> �."' � ' 2. Ha�dcover calculatl�a.e�srnt �and $� ]"ti� i 7{.�; '��'�� 's�� <br /> 3. SurvAy'f�!,`;, ,�ri�t�:'{! �i �Q h.' ' ,�J'��:�'�'ah'l►�4 � <br /> Land Albntion,MaJOr 1. Survey/grediny plen incl inp ng a� poaed conh�yra�aa,a by CdntlHional Use Pertnit <br /> 2. Erosion control plan. �f-•� . *'�:. 1' • + • ' <br /> 3. A copy of Minneheha Creek Wate�ahed District(MCWD)p�mka or documentation irom the AACWD sfetlng tlu <br /> ProP�P�lect doea rat Vipper any oi thelr pertnilting requiremerMs. Plsase nota�tha City wlll not Ipue a <br /> buildl it wltliout IMonnatlon irom tlw MCWD. <br /> Land Alteratlon,Mlnor 1. Surveylprading plen InGudinq exlatlng and propoeed oonbours <br /> 2. AmouM ot fil to be impo�ted andlor e�orted and haul route <br /> 3. AmouM of earth to be rtavsd around a�site <br /> 4. Eroalon oontrol plen. <br /> 5. A copy of Minneheha Craek Wetershed DisUict(MCWD)pertnita or doamentaUon from the MCWD sietlnp the ' <br /> propoeed project does not trigger any of Mair psrtnilfinp requiremeMs. Plasa nob,ths Cky will not Issw a r � <br /> bulldln rmk without IMom�atlon from fhs MCWD. <br /> Retalning Wall 1. P�ns for wall(a) <br /> 2. Unless repair or exect replacemeM of existlng weA,submft en updeted survey wRh pradinp plan ndudinp e�dsiing and <br /> propoeed contours <br /> 3. Hardcov�c�Cula�lon worksfieeta if in shoreland diatrict <br /> 4. Emsion crontrol plen <br /> 5. A copy of Mlnnehehe Creek Watershed Dishlct(MCWD)perrnks or docx�rnentatlon from the MCWD sfeting the <br /> propoaed project does not trigger any of thelr pemdding requiremer�ts. Please nob,the Cky will not fssuo e <br /> buildl vrlthout IrKorrnatlon from tha MCWD. . . <br /> Stalrway Or L.Nb to 1. Constructlon plana r staitway or IfR,inck�ding footings <br /> Laka 2. Topagrephicel survey of properly whh propoaed staire or Wt sF�oMm <br /> 3. Erosion aontrol plan <br /> 4. A copy of Minnehaha Creek Watershed DlsMct(MCWD)pem�ta or�cunentetlon from the MCWD statlnp�e <br /> proposed Project does not Vigger any of Mieir pertn�tlng requlranerrts. Plaew nots,th�City wlll not iswe a <br /> bulld rmlt wllhout ir�fonndbn irom the MCWD. <br /> Structure Perm(t 1. Construc�plarre. <br /> 2. Siavey/site plan cf property wfth propoaed struqure shovm a�wfth aetbadcs to property lines,c�er structures on <br /> P�KY and the sept�system ind�ated.The general lot�ttbn of any sewer and water servkxs should be shown if <br /> app�cable. <br /> 3. C3radinp plan'rf gradinp Is proposed. <br /> 4. Hardcover calculatlon wodc�eets <br /> 5. Erosbn oontrol plan. <br /> 6. A copy of Minnehaha Creek Wate�shed Disb�kd(MCWD)permita or documentatlon from tha MCWD atatlng the <br /> proposed project does rwt triggx arry of their pertnildng requiremeMs. PI�not�,fhe Cily wlll not issue a <br /> buNd rmR whhou!IMomiatlon from the MCYYD. <br /> T�99 RAMOvaI Call: 952-249-4800 to achedule en inepection f�removal of an indNid�l tree(s). A re�laMiny p�n/er�ion control/ <br /> men ment an be ired for cleer cuttl ,buckfhom or oiher i�ive taUon removal. <br /> Updated: Januery 2017 <br />