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x.11 . �.Or cMurw PAUE 011/07 <br /> ^t'F 66 AM iovjkft ACKNOW EDGEMENT: <br /> ` FA <br /> $r agf�ess to pmvlde all mfvrmehon r <br /> etwlred orOWfrequosUed by the Plalnnirrg Depet'trrtettt; <br /> "to pay aha City of Orono for ef191naatingco"ma"t�tr"ll"'costs>lrhena atpplicabte; <br /> r iMmes that the Infemtation supplied Is truo and correcttothe best of hfsfiel knnvlAeatge_ The appYcafit recogrizes <br /> t toSm orro�Ci lY is cOF <br /> �r subfiri lrlg a compfetr, application bOV aware that upon fagtue to dosay fha h <br /> s the attached Esm-ow Agreement is complatod and signed by Ownsrner unde mbi ds their project may require an Initial and 2"011t aeurrep per City,Code Sargon aa.68. <br /> • SWO or all of the Infertnatlon !fiat you aro ,asked to pnp*le an this app)iciatlon is clasajged by State Ipw as mother <br /> privet I=der". deft is information which 9&*Mfly Cannot be given to the byre but Dan be ivert to the or <br /> �l date is lnfomwkR1 which generally cannot be given to ither the Public or the of the <br /> load areae of this intrrrnatton is to annually update our records and rocvrds of other � of the data. Our purpose oid <br /> refuse to trite thea n MA not be issued, emmentpl eg�ies required by law If <br /> The undergigre d Why ftt tthe- orrn on supplied is true and correct to the best of <br /> their It <br /> Appficarr#'s$Fpttature; <br /> f7n' <br /> Property 0~a 5igrieture., <br /> :Date. <br /> ;a f11t_gSION REGUIREAIIEN'i: Except for tree r'6tftM permits, � t»►irrlS rtYgctlre t camp <br /> hliled <br /> appocatiea �escroMr a9nemant(signed by the property rAm i ri and eaoanw chaeta from r <br /> two eapks of all plans.and three copies of all grading Olsns or ye, plans ' <br /> oak,Commerddl 1. se�i�hrel f�a for the dock <br /> 2. Survey 9xwft the proposed location of the dock <br /> 3. Copy of LMCD permit <br /> R�sideng8l .$eresanal Dods—survey showing pr�do�ck <br /> Perrreonent Dot— lane as byCUP Rnqam Of LMCD Wmilt y file <br /> ltarrdoovar ftrmit 7. All Minor or Major land Alteration Pwtut mquements apply a$ <br /> 2- Nardootw Calarbdorts.a is"and pmp*M aPProR►tftte <br /> 9. Survey <br /> AlteratioH,MaJor t'suReoy/arattflQ plan indt�ing erd Ana aropased eanlrurrs as dpp,oved li Cexldldormr use Farrah <br /> 2. Eroslon Ower t Plan. <br /> �. A copy of Minnehaha CXEek Watarsrt♦d Distract(IplCyyp�Permits or docurrnSMIgan flllstl the Me"Jong the <br /> pr7poSed project does plot trigger any of their pelta V MgLAr mentit. Pietlee nett,the <br /> t.ltnt bttNen a Inibrtttatlon t pb►wart nal[dw a <br /> Minor 1- y/gragtrr6 plan Mduding eaaitng and proDOW�o� <br /> (Lew then 10 cu.yds. 2, Amount of dal to be Imparted anther forted and haul route <br /> *thin 75'of lake or less 3. Am UM of MfM 10 be moved around on eke <br /> than 501 ciI 4. Erncipn control pleat. <br /> afti here.j <br /> S. App Project e> not ' �nbtrtet(MCVYD)Dermits deauma the MC1tVD uta <br /> buildirm a tAttlraR MY of tt�Permf ff"r"Lft g. Please note.the City WM not a <br /> Retalnlrtg 4It <br /> PSI for VWKS) from aha MCIIYD. <br /> 2, Urtfaee MWr or otrrtat replacement Of eructing IAS,submit an updated survey wRth 9MdkQ p� <br /> proposed contours Including exiting arl <br /> 3. Hsrdcmw r�itxd260n worksheets if to ahon�end dWrld <br /> 4, Emdon W&d pian <br /> 5. A Appy of Mlnriehghe Creek Wetterahad Ch*M(MCWDny of their permits or docranoftNI frCrrr rr�1ND s>ri1M <br /> ft <br /> Puldli Ad protect don notwt�t l t► On teem tab MCWD. uMements P1e�e RaW the Ckywto not beute a <br /> Or i_tftS to 1. Corietructlon piens for ybirway ar boy <br /> ey <br /> Fake 2. rC)%Vaphk I survey of property wfflt proppeed Sabra or lift sftown <br /> 3. Erosion control plan <br /> 4, A copy at Mlmefmha Cn9eh VMelrprslletl txsafat(LCM)permits or documtantation f m the MCWD ettr ft the <br /> proposed Project dopy not trigger any of tltefr pamllhirrg rrquiryrrr�g, pb�nom,on Ce wnf not ftn a <br /> S�+OtNre P'afmlt 1, 4uN01 lam Wlpyout fri mtatlon thorn the MCWIX <br /> COnetnrpgvn p <br /> 2. Survey of property with pi-gw$0 stntcbfre shown and Wath seibaolp to ply 6n�q calcar struclttppg on properly <br /> And the Septic syykm Indropd.The gerecral l0afataort of m of applicable. <br /> 3, Grading pion if grading is proposed, any sewer and watw selvbw should be alo <br /> 4, Hwda&-w ea,CL4 von worrwhow <br /> 5- Erosion control plea, <br /> 3. ,a=PY Of hAlnrtehaho Creek W9termea OfOlCt NCIND)permfrS or aocumenti ian from the�1ko mtetlnq lila <br /> i �r mmed PmjW doew not#rigger any of their perm Kling mqun'tmdms. please Tote,rhe City wNl rrot issue a <br /> bufidi rmlt mflhout fretbrmaTort ftoM the Nt ft. <br /> Tme Removal i Calf; 932-�9-°R04 a sdtpGuit?a single'vee'emowai g <br /> lnseectlon. A re-O" cle�rrr roa,on comrvi r„an <br /> �r dem►arttrn or dRuu i etafion removal. agdfn ani 91111h <br /> Updated, January 2014 <br />