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� � <br /> � � <br /> APPLICANT/OWNER ACKNOWLEDGEMENT: � <br /> .. <br /> . ApplicanUOwner agr�es to provtde all information required or requested by the Planning Department; .� <br /> . Owner agrees to pay the Cily of Orono for engineering consuMsnt review costa where applicable; <br /> • ApplicanUOwner certifies ttrat�e i�ormation supplied is true and correct to the best af hfsTher Imowledge. The applicant reoognizes <br /> that they are solely r�pons�te for submitting a oomplete applicatlon being aware that upon faiture to do so,the s�ff has no altemative <br /> but to rejed it until it is complete; <br /> • Applicant aclv�owledges the attached Escrow Agreemerrt is completed and signed by Owner, <br /> • Applicant/Owner understands their project may require an initial and/or as-built sunrey per City Code 3ection 86-68. <br /> • Some or all of the ir�fortnation that you are asked to provide on this appliqtion is dassfied by State law as either private or confideMial. <br /> Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data <br /> is infortnation which generapy cannot be given to either the pudic or the subject of the data. Our purpc�se and intended use of this <br /> infom�ation is to annually update our records and records af other govemmental agencies required by law, If you refuse to supply the <br /> information ihe a cation ma not be issued. <br /> The undersigned certity that ' ormation supplied is true and oorrect to the best of their knowledge. <br /> . <br /> ApplicaM's Signature: Date: �1 <br /> Property Owne�s Signabure: Date: �( Z� � <br /> SU SSION RE� REMENTS: Except for tree remaval peamits, all permits require a complebed <br /> TYPE OF PERMIT: application form,escrow agreement(signed by the property owner)and escrow check from o�nrn�r,iwo <br /> copies of each,where applicable,plans,landscape plans,gradtng plans,surveys or ske plans. <br /> Dock,Commercial 1. Structural plans for the dock <br /> 2. Surveylsite plan showing the proposed locatl�of the dadc <br /> 3. Copy of LMCD permit <br /> Dock,Residential Seaso�l Dodc-survey sho�Mng proposed dodc <br /> Permanent Dock— lans 8s a roved CUP and cop of LMCD pertnit d icable <br /> Hardcover Pemik 1. All Minor or MaJ�Land Altergtion Pertnit requiremer�ts appy as appropriate <br /> 2. Hardcover calculatlons,e�dsting and proposed <br /> 3. Survey <br /> Land Alteratton,Major 1. Survey/�ading plan induding e�dadng and proposed corrtours as approved by Condidonal Use Pertnft <br /> 2. Erosion coMrol plan. <br /> 3. A copy aF Mfnnehaha Creek Watershed District(AACWD)pertnks or documer�tatian fr�n the MCWD stating the <br /> ProPosed ProJect does rrot trigQer any of their pertnNNng requiremeMs. Pi�note,the City will not issue s <br /> bulldin miit wilhout t�ortnatlon from the MCWD. <br /> Land Alteration,Minor 1. Sirvey/greding plan induding existing and proposed coMours <br /> 2. Amourd of fill to be imported and/or e�orted and hau�ta�te <br /> 3. Amount of eaRh to be moved around on site <br /> 4. Erosion control plan. <br /> 5_ A copy of Minnehaha Creek Watershed District(MCWD)permits or documentadon from the MCWD stating the <br /> proposed prolect does not trigg��y of their pertnitUng req�remeMs. Please note,the City wfll not issue a <br /> buil�n rmit wtthout irHortnation from the MCVYD. <br /> Retaining Wall 1_ Plans for wall(s) <br /> 2. Unless►epair or exact replacement oF ebstlng urall,submit an updated survey with grading plan induding existing and <br /> propased cor�tours <br /> 3. Hardcover calculation worksheets if in shoreland district <br /> 4. Erosion control plan <br /> 5. A copy of Minnehaha Creek Watershed District(MCWD)pertnits or docurnerNation from the MCWD statlng the . <br /> proposed ProJect does not trigg�any of their pertnitUny requirerner�. Pl�ss aote,the Cky wlll not issue a <br /> buil�n rmit without informafion from tl�e lACVYD. <br /> Stairway or Lifts to 1. Constructlon plans for stairway or lift,induding footings <br /> Lake 2. Topographicel survey of Property wtth proposed steirs or iift shown <br /> 3. Erosion contrnl plan <br /> 4. A oopy of Minnehaha Creek Watershed District(MCWD)permits or docume�tatlon trom the MCWD staUng the <br /> ProPo�Prolect do�not trigger any of their pertniWng requiremerMs. Plaase note,tha Cily vWll not tssue a <br /> buildin mtit without Information from the MCWD. <br /> Structure Permit 1. Construc3ion plans. <br /> 2. S�uvey/site plan of Property with Proposed structure shown and wfth semadcs to property lines,other structures on <br /> properly and the saptic system in�icated.The g�eral location of any sewer and water services should be shown if <br /> appflCable. <br /> 3. Grading plan if grading is prop�ed. <br /> 4. Hardcover calculadon worksheets <br /> 5. Erosion cor�rol plan. <br /> 6. A copy of Minnehaha Cnsek Watershed District(MCYVD)permits or documenfsUon irom the MCWD stadng the <br /> proposed project does not trigger any of their pertniEti�requi�ner�s. Please note,ffie City will not issue a <br /> bulldl ermk wRhout iMormation from the MCVYD. <br /> T1'ee Removal Cal�: 852-249-4600 to achedule an inspectlon for rertwval of an incividual tree(s). A re-plarhing plan J erosion control/ <br /> mana ement lan m be uired for dear arttin budctfiom or�iMensNe etation removal. <br /> Updated: January 2017 <br />