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/�PPLICANT/OWNER ACKNOWLEDGEMENT: <br /> � • Appl�anUOwner egrees to provide all information required or requested by the Pianning Departrnent; <br /> • Owner agre�to pay the CIly of Orono for engirreering consultant review costs where applkable; <br /> • AppliCanUOwner certifies tfiat the informatan supplied is true and correct to the best of hislher knowledge. The applicant recognlzes <br /> that they are sdely responsible for submitting a complete application being aware that upon failure to do so, the staff has no <br /> aftemative but to reject it until it is complete; <br /> • Applicent acknowledges the attached Escrow Agreement is completed and signed by Owner; <br /> • ApplicandOavner understands U�air project may require an initial andlor as-built survey per City Code Sedfon 86-68. <br /> . Some or all of the infortnation that you are asked to provide on ihis application is classfied by State law as either private or <br /> �nfidentlal. Private data is irrtormation which generelly cannot be given to the public but can be given to the subjed of the data. <br /> Confidentiel data is infortna�on which generally cannot be given to either the public or the subject of the data. Our purpose and <br /> intended use of this informadon is to annually update our records and reaords of other govemmerttal agencies required by law. if <br /> refuse to su the information,the a lication ma not be issued. <br /> � <br /> The undersigned certify that the info ti u li ,is true and e best of their knowledge. <br /> Appllcant's Signature: Date: �`"�'��j <br /> Property Owner's Signature: � �� Date: �-3 -ZD/lo <br /> L <br /> ION U : Except for tree removal permits, all permits require a completed <br /> TYPE OF PERMIT: applkatlon torm, escr�r agreement(signed by the property a�rner)and escrow check from owner, <br /> two coples of each,where applicable,plans,landscape plans,grading plans,surveys or site plans. <br /> Dock,Commerclal 1. Struaural plans for tl�e dodc <br /> 2. Survey/site pian sAowing the proposed bcation of the dock <br /> 3. Copy of LMCD permit <br /> Dock,Reslde�tial Seasonal Dodc-survey shaMng proposed dodc <br /> Pemtanerit Dock- lans as a CUP and oF LMCD R � �able <br /> Hardcover Pem'd! 1. All Minor or Major Lend Afteration Permit requiremente apply as appropriffie <br /> 2. Hardcove�ca�ulationa,existing and proposed <br /> 3. Survey <br /> Land AlteraRion,Major 1. Survey/grading plan including epstfng and proposed corrtouro as apprrn�ed by Conditional Use PertnR <br /> 2. Erosbn control plan. <br /> 3. A copy of Mlnnehaha Creek Wetershed DisUict(MCWD)pe�mits or documentatla�fram the MCWD stating the <br /> proposed project does not trigger any of their permkting requirements. Please note,the CNy wlll not Issue a <br /> build without information from the MCWD. <br /> Land Alteration,Minor 1. Survey/g►ad'mg plan mduding e�dsting ar�i proposed contours <br /> 2. Amount of flll to be imported andlor exported and haul route <br /> 3. Amount of earth Oo be moved around on site <br /> 4. Erosion control plan. <br /> 5. A copy of Minnehaha Creek Watershed District(MCWD)pertnits or documentation from ttie MCWD statlng the <br /> proposed proJect d�e not Uigger any of their permitting requirements. Please nobe,tl�e City will not iswe a <br /> budd rmlt wFU�out informadon hnm the MCYYD. <br /> Retalning Wali 1. Plans for wall(s) <br /> 2. Uniess repair or exact replacemeM of ebsting walf,submit�updated survey wIM grading plan indud�g eucisting and <br /> proposed c�ontours <br /> 3. Hardcover c�culation worksheets if in shor�eelend distriet <br /> 4. Erosion ooMrol plan <br /> 5. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation trom the MCYVD stating the <br /> proposed project does not trigger arry af thefr pertnitting requirements. Please eote,fhe City wlll not issw a <br /> buildin �mit wiMwut Intormation irom the MCWD. <br /> Stalrway or Ufts to 1. Construdbn plane fa stairway or lift,induding footings <br /> Lake 2. Topographical survey of propeRY with proposed stairs or lift shown <br /> 3. Erosion control plan <br /> 4. A oopy of Minnehaha C�elc Watershed D�firict(MCWD)pertn�or documerrtatton from the MCWD sta�g the <br /> proposed project does not trigger any of the6�pertnittlng requinemeMs. Please note,fhe City will not issue a <br /> buildin wifhout information irom the MCYIID. <br /> Structure Permk 1. Construdion pia�. <br /> 2. �rveylsite plan of property with prr�osed structure shown and with setbacks to property lines,other sWctures on <br /> property and the septic system indicaffid_The general locatlon of any sewer and water servit�s should be shown if <br /> appliCaWe. <br /> 3. Grading plan if grading is proposed. <br /> 4. Hardcarer calculetlon workaheets <br /> 5. Erosion c�ntrd plan. <br /> 6. A oopy of Minnehaha Creek Watershed DisUict(MCWD)pem�its or docur�enntation iran d�e MCWD stating the <br /> prop�project does not trfgger any of thar pertnitUng requiremeMs. Pleasa note,�e City will nof issue a <br /> buHd� t wfthout ir�formaflon from the MCWD. <br /> Tree Removal Call: 952-249-4600 to echedule an inspecUon tor removal of an irxlividuet Vee(s). A re-plaMing plan/erosion ooMrol! <br /> ma ent lan ma be uired for dear ,buckthom or other intensive v tatlon removal. <br /> i <br /> Updated: May 2015 <br />