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1 i <br /> I <br /> AF?LICANT/OWNER ACKN�WLEDGEMENT: <br /> . ApplicanUOwner agrees to prlovide all information required or requested by the Planning Department; <br /> • Own"er agrees to pay the Ci�y of Orono for engineering consultant review costs where applicable; <br /> . , Applicant/Owner certifies thatlthe information supplied is true and correct to the best of his/her knowledge. The applicant recognizes <br /> that they are solely respons�ble for submitting a complete application being aware that upon failure to do so, the staff has no <br /> altemative but to reject it until it is complete; <br /> • Applicant acknowledges the a�tached Escrow Agreement is completed and signed by Owner; <br /> • ApplicanUOwner understan�is their project may require an initial and as-built survey per City Code Section 86-68. <br /> • Some or all of the informatiqn that you are asked to provide on this application is classified by State law as either private or <br /> confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. <br /> Confidential data is informatiqn which generally cannot be given to either the public or the subject of the data. Our purpose and <br /> intended use of this information is to annually update our records and recoMs of other govemmental agencies required by law. If <br /> ou refuse to su I the informa6on the a lication ma not be issued. <br /> The undersigned certify that the inf atio p ie is true and correct to the best of their knowledge. <br /> Applicant's Signature: Date: t� Z � <br /> Property Owner's Signatur : - Date: 2Z � <br /> SU N RE U MENTS: Except for tree removal permits, all permtts require a completed <br /> TYPE OF PERMIT: applic�tion form, escrow agreement(slgned by the property owner) and escrow check from owner, <br /> two copies of all plans,and three coptes of all grading plans or surveys/site plans <br /> DoCk,CommerCial 1. SWctural plans for the dock <br /> 2. Survey showing the proposed location of the dodc <br /> 3. Co y of LMCD permit <br /> Dock,Residential Season I Dodc—survey showing proposed dodc <br /> Pertnan t Dodc— lans as a proved b CUP and co of LMCD eRnit if ap licable <br /> Hardcover Permit 1. All Minor or Major Land Alteration Permit requirements apply as appropriate <br /> 2. Hardcbver calculations,e�asting and proposed <br /> 3. Survey <br /> Land Alteration,Major 1. Suney/grading plan inGuding existing and proposed contours as approved by Conditional Use Permit <br /> 2. EroSion control plan. <br /> 3. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentatlon from the MCWD stating the <br /> proposed project does not Vigger any of their permitting requirements. Please note,the City will not issue a <br /> buil in rmit without informatlon from the MCWD. <br /> Land Alteration,Minor 1. Survey/grading plan inGuding existing and proposed contours <br /> (Less than 10 cu.yds. 2• Amount of fill to be imported and/or exported and haul route <br /> within 75'of lake or less 3. Amdunt of earth to be moved around on site <br /> than 501 cu.yds 4. Erosion control plan. <br /> elsewhere.) 5. A copy of Minnehaha Creek Watershed DisVict(MCWD)pertnits or documentation from the MCWD stating the <br /> proposed project does not trigger any of their permittlng requirements. Please note,the City will not Issue a <br /> buil n rmit without fnformation from the MCWD. <br /> Retaining Wall 1. PIanE for wall(s) <br /> 2. UnleSs repair or exact replacement of existing wall,submit an updated survey with grading plan including existing and <br /> propOsed contours <br /> 3. HardCover qlculation worksheets if in shoreland distrid <br /> 4. Erosion control plan <br /> 5. A copy of Minnehaha Creek Watershed DisUict(MCWD)permits or documentation from the MCWD stating the <br /> propqsed project does not trigger any of their permitting requirements. Please note,the City will not Issue a <br /> build n rmit without infortnation from the MCWD. <br /> Stairway or Lifts to 1. Cons ction plans for stairvvay or lift,induding footings <br /> �ke 2. Topoqraphipl survey of property with proposed stairs or lift shown <br /> 3. ErosiQn control plan <br /> 4. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the <br /> proposed project does not trigger any of their permittir►g requirements. Please note,the City will not issue a <br /> buildi nnit without information from the MCWD. <br /> Structure Permit 1. Cons ction plans. <br /> 2. Survey of property with proposed structure shown and'with setbacks to property lines,other sVuctures on property <br /> and the septic system indicated.The general location of any sewer and water services should be shown if applicable. <br /> 3. Gradirlg plan if grading is proposed. <br /> 4. Hardc:�ver calculation worksheets <br /> 5. Erosioh control plan. <br /> 6. A copy of Minnehaha Creek Watershed District(MCWD)pertnits or documentation from the MCWD stating the <br /> proposed project does not trigger any of their permitting requirements. Please note,the Clty will not issue a <br /> buildin rmit without infortnatlon from the MCWp. <br /> Tree Removal Call: 952-249-4600 to schedule a single Vee removal inspection. A re-planting plan/erosion control/management plan <br /> r uired for ear cuttin ,buckthom or other intensive v etation removal. <br /> Updated: January 2014 <br />