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APRLICANT/OWNER ACKN�WLEDGEMENT: <br /> • Applicant agrees to provide all information required or requested by the Pianning Department; <br /> • Owner agrees to pay the City of Orono for engineering consultant review costs where applicabls; <br /> • Applicant certifies that the information supplied is true and coRect to the best of hislher knowiedge. The applicant <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 un61 it is compfete; <br /> • Applicant acknowledges the attached Escrow Agreement is completed 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 corrfidential. Private data is information which generally cannot be given to the public but can be given to <br /> the su6ject of the data. Confidential data is information which generally 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 governmental agencies required by law. If you refuse to supply the information, the application may not be <br /> issued. <br /> The undersigned certify that the information supplied i true and correct to the best of their knowledge. <br /> _ < <br /> Applicant's Signature: Date: �� `/c�C� <br /> Property Owner's Signature: Date: �" ��'- � � <br /> TYPE OF PERMIT: SUBMISSI�N R�QUIREMENTS: Except for tree removal permits, all permits <br /> require a compteted applicatian form, escrow agreement(signed by the property ' <br /> owner) and escrow check from owner, two copies of all plans, and three copies <br /> of alt grading plans or surveyslsite plans <br /> Docl�,t�esldentlal Seasonal Dock—survey showing proposed dock <br /> Permanent Dock-plans as approved by CUP and copy of L.MCD permit <br /> Dock, Commercial 1. Structural plans for the dock <br /> 2. Survey showing the proposed location of the dock <br /> 3. Copy of LMCD perrnit <br /> Driveway Permit 1. All Minor or Major Land Alteration Permit requirements <br /> 2. Hardcover calculations, existing and proposed <br /> 3. Driveway plans <br /> Land Alteration, Major 1. Plans as approved by Conditionaf Use Permft <br /> 2. Erosion control plan or copy of MCWD Erosion Control Permft � <br /> l.and Alteratlon, Minor 1. Grading plan 1nGuding existing and proposed cantours � <br /> (Less than 10 cu.yds. within 75'of 2. Amount of fill to be imported and/or exported and haul route <br /> lake or less than 501 cu.yds 3. Amount of earth to be moved around on site <br /> elsewhere.} 4. Erosion control plan or copy of MCWD Erosion Control Permit <br /> Retafning Wall 1. Plans for wall(s} <br /> 2. Unfess repair or exact replacement of existing walf, submit an updated survey wfth <br /> � grading plan including existing and proposed contours <br /> 3. Hardcover calculation worksheets if in shoreland district <br /> 4. Erosion control lan or o0 of MCWD Erosion Control Permit <br /> Stairway to Lake 1. Construction plans for stairway, including footings <br /> 2. Topographical survey af property with proposed stairs shown <br /> 3. Erosion control plan or copy of MCWD Erosion Control Permit <br /> Structure Permit 1. Plans for structure. <br /> 2. Survey of property with proposed structure shown and with setbacks ta property <br /> lines, other structures on property and the septic system indicated.The general <br /> location of any sewer and water services should be shown if applicable. � <br /> 3. Grading plan if grading is required � <br /> 4. Hardcover calculation worksheets if in shoreland district <br /> 5. Erasion contro) lan or co of MCWD Erasion Cantrol Permit <br /> Tree Removal Call: 952-249-4600 to schedule a single tree removal inspection. A re-planting plaN ' <br /> mana ement lan uired for clear cutti ,buckthom or other intensive ve tation removal. <br /> Updated: December 30,2Q11 <br />