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_ _ <br /> � � AF�PLlGANTlf�WNER ACKNOWLEQ�EMENT: <br /> • ApplicaMlOwner agrees to provide all infom�ation roquired or requssted by the Planning Department; <br /> . Owrier a�roes to pay!he City of Orono for enpineeMnQ conw�ant rseview costs where appiicabM; <br /> • ApplicaM/Owner certifies tl�at tltie infom�ation aupplied is true�nd coRect to the beat of hisf�r knowledge. The applicartt recagni�es <br /> that they are solely responsible for sutunitt�g a comp�te application being aware that upon failure to do so, the staff has no <br /> aitemative but to reject it until it is complete; <br /> • Applicant acknowledges the attached Escrow Agreesmment is corr�leted and spned by Owner, <br /> • AppllcarWOwner urxlerstands their project may require an initial andlor as-buitt surv�ey per City Code Sectian 86-68. <br /> • Some ar aN of�e infortn�tion thet you are asked to provide on tl�is ap�icatian is ciesaifred by State law as eitfier private or <br /> coM�dential. Private data is a�fom�aao�which generally cannot be yiiren to the puW�but can be given b the subjcct of the data. <br /> Conficlentiai data is infortnation which genera{Ey cannot be given to ei�her the pubtic or the aubject of the data. Our purpose and <br /> intended t�a of�►is infortr�etion is ro�nueH}r�te o�rr rec+�rda and reccrrde ef�net.�overnmeM�i agenaes requi�ad b�r�ew. If <br /> u rofuse to su tl�e inforr�tion the a ication not be iaaued. <br /> Tt►��nd8rsigned c�r�ify that#h�iMormation supplied is tru��nd correct to the best of their knawledge. <br /> Appiicarrt's Signature: �Jar.�+�.y � pate: �-2 r•i S <br /> Property Ovmers Signature: � Date: �une 25,2015 <br /> SUBMISSION REQUIREMEi+ITS: E�caspt for troe rorrwval pem�ts, all permits nequire.a compketed <br /> TYPf OF PERMIT: apptica�on form, escrow agr+�m�nt{s�nsd bY ths }araplrty owr�ar)and asc�r ch�ck fr+orn owr�er, <br /> two ca�ias at�sct�,ywar+a�p��cibis�P�st�s,i�r�tseat�e�ins.�d�ry�pu�ru,surwys aw a�p�atrt. <br /> Dock,CommerCia) 1. Strudurai pia�for the dock <br /> 2. Surveyta�e plan sl�rnMng the proposed locadon of the dock <br /> 3. C of LMCD k <br /> R�1C,1tQ3t�11�1• S��cmA1 Or9+dc�ur�y ghOV�p'tig�c�dc <br /> Pertnanerrt Doek— r�as CUP and o0 of LMCD it it icable <br /> FlflfdCotter Porntit 1. All Minor or Major Lar�Atteration Pec�mmit requiremeMs aPaY��P��te <br /> 2. Wartioa�ar aalauiatiar�,s�ostitrg and proposed <br /> 3. Survey <br /> L.and Aihn�tlqt,Major' 1. Survey/grad'mp pian ind�Ang e�sting and propos�corrtours�approved by C�d�ionai llee Permft <br /> 2. Eroaion controi plan. <br /> � 3. A�r oi Minr�haha Crealc Wate�shad astri�t(MGWD)permits or dOcumeM��n f�om the MCWD stating the <br /> propoaed projed does nat triggar any of tt�ir permit22i�requiremerKs. Ptepse notie,�e City will oot Issue a <br /> bui�i t vrftl�out iMornwtian hwn ttNs MGWQ. <br /> Land Altieratiott,Minor 1. surveylgr�ling plan inducing�usting a���sed c.c�tau►s <br /> 7. Amaint of fllt to be impotted andl�exported ar�i haul route <br /> 3. Amount of earth to be moaed around on srte <br /> 4. Erosion camd piart. <br /> 5. A copy of Min�haha Cre�c Watershed Distric�(MGWD)perm�s or doaimentation iran the MCWD�ating the <br /> propoaed projeat dc�ea not trigger any of#�eir permitting requirements. Pleap note,the City will not hsuo a <br /> buiidf rMt vrithout f�ta�mation hom tlw MCWD. <br /> Re�inirtq Wtl) 1. Plansforwail(s} <br /> 2. Untesa repair or e�cad re�acemera of eui�ting wall,submft an updated aurvey wtth grading pian includi�acisting and <br /> proposed cordours <br /> 3. Hardcov�caiculation warksheets if in eha�eland d�rict <br /> 4. Er�ion control plan <br /> 5. A capy of Minnehaha Creek Watershed Diatrict(MCWD)p�mftss or doa�mentation trom the MCWD statir�the <br /> �oposed projed does nart tr�ger any of thefr permittir�requireme�. Please no�a,the Cky arEli rwt fsaue a <br /> bu�di mit rNthout iMorm�tlon hatt q�p MCWD. <br /> 8tairway ar 3 1 UZ`SZ l�►'�� Cor�tr�tbn plans Dor st�iway or lift,ir�udir�footinga <br /> Laks Topographical survey of property wfth proposed stairs or IiR shawn <br /> 3. Erosio�a�rkrof plan <br /> 4. A c�y of N�nnehaha Creek Waa�teershed District(MCWD)permits or docwmentaRior►hom the MCWD statlny the <br /> proposed pr�ect�es not tri��any of their permi�ir�tequiremarrfs. PNase t�s,Bw CIly wFll�ot issue a <br /> �ildi mlt wi#xwt i�matlon h�n tl�a(YiCWO. <br /> Stwetnre Permit 1. ConstnicGon pl�r�a. <br /> 2. Sunrey/site pian of Property vMth propoaed struc�uure shown and wiB►s�back4 to propeny U�ee,otfier ahuetur�on <br /> property and the septic syatem indicated.The general bcatia�of ariy sewer and water senric�shouid be s�ff <br /> a�iicable. <br /> 3. Grading plan ifgr�ing i��oposed. <br /> 4. Hardcover calculafion war{��ets <br /> 5. Erosion ca�trol aan. <br /> 6. A copy of Minnehaha Creek Watershed D�tricx(MCWD)permi0c or da:um�ntation from the MCWD�atir�the <br /> propased prqect d�s nat t�er any of their permitting requirem�s. Pleare n�oEe,fhe Gity wIN not fasue a <br /> buildi mit wltttout Info�7natfon from tt�MCWQ. <br /> Tree Removal ���� �2-249-�00 to�ct�ule an ir�pection for rernowal of an individual tree(s). A raplanf�ng plan/erosan coMrol/ <br /> an be r c bu om ' n r ov . <br /> Updated: May 2015 <br />