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FROM ASPHALT SPECIALTIES (THU)OCT 22 2015 11 :44/ST. 11 :43/No. 5801440124 P 2 `APPLICANT/OWNER ACKNOWLEDGEMENT: • Applicant/Owner agrees to provide all information required or requested by the Planning Department • Owner agrees to pay the City of Orono for engineering consultant review costs where applicable; • Applicant/Owner certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; • Applicant acknowledges the attached Escrow Agreement is Completed and signed by Owner; • Applicant/Owner understands their project may require an initial and/or as-built survey per City Code Section 86-68. • Some or all Of the information that you are asked to provide on this application is classified by State law as either private or Confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies required by law. If ou refuse to su I the information theapplication manot be Issued. The undersigned certify that the supplied is true and correct to the best of their knowled e. Applicant's Signature: Date: la� I 6 Property Owner's Signature: Date: SUBMISSION REQUIREMENTS; Except for tree removal permits, all permits require a completed TYPE OF pgRMIT: application form, escrow agreement (signed by the property owner) and escrow check from owner, two copies of each,where applicable,plans,landscape plans, grading plans,surveys or site plans. Dock,Commercial 1. Structural plans for the dock 2. Survey/site plan showing the proposed location of the dock 3. Copy of LMCD permit Dock,Residential Seasonal Dock-survey showing proposed dock -- - Permanent Dock-plans as approved by CUP and copy of LMCD permit(if applicable) Hardcover Permit 1. All Minor or Major Land Alteration Permit requirements apply as appropriate 2. Hardcover calculations,existing end proposed 3. Survey Land Alteration, Major 1. Survey/grading plan including existing and proposed contours as approved by Conditional Use Permit 2. Erosion control plan. 3. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the proposed project does not trigger any of their permitting requirements. Please note,the City will not Issue a building permit without information from the MCWD. _ Land Alteration,Minor 1. Survey/grading plan including existing and proposed contours 2, Amount of fill to be imported and/or exported and haul route 3. Amount of earth to be moved around on site 4. Erosion control plan. 5. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the proposed project does not trigger any of their permitting requirements. Please note,the City will not issue a buildin! •ermit without Information from the MCWD. Retaining Wall 1. Plans for well(s) 2. Unless repair or exact replacement of existing wall,submit an updated survey with grading plan including existing and proposed contours 3. Hardcover calculation worksheets if in Moreland district 4. Erosion control plan 5. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the proposed project does not trigger any of their permitting requirements. Please note,the City will not Issue a bulidin,gperrmit without Information from the MCWD. Stairway or Lifts to 1. Construction plans for stairway or lift,including footings Lake 2. Topographical survey of property with proposed stairs or lift shown 3. Erosion control plan 4. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the proposed project does not trigger any of their permitting requirements, Please note,the City will not issue a building permit without information from the MCWD. Structure Permit 1. Construction plans: 2. Survey/site plan of property with proposed structure shown and with setbacks to property tines,Other structures on property and the septic system indicated.The general location of any sewer and water services should be shown If applicable. 3. Grading plan if grading Is proposed, 4. Hardcover calculation worksheets 5. Erosion control plan, 6. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the proposed project does not trigger any of their permitting requirements. Please note,the Clty will not issue a L building permit without information from the MCWD. Tree Removal Call! 952-249-4600 to schedule an inspection for removal of an individual trae(s), A re-planting plan/erosion Control/ management plan may be required for clear cutting,buckthorn or other intensive vogetatlon removal. Updated' May 2015