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• <br /> APPLICANTIOWNER ACKNOWLEDGEMENT: <br /> • Applicant/Owner agrees to provide all information required or requested by the Planning Department; <br /> • Owner agrees to pay the City of Orono for engineering consultant review costs where applicable; <br /> • AppiicanUOwner certifies that the Information supplied is true and correct to the best of his/her knowledge. The <br /> applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure <br /> to do so.the staff hes no alternative but to reject it until it is complete; <br /> • Applicant acknowledges the attached Escrow Agreement is completed and signed by Owner; <br /> • Applicant/Owner understands their project may require an Initial and as-built survey per City Code Section 86-68. <br /> • Some or ail of the information that you are asked to provide on this application is classified by State law as either <br /> private or confidential. Private data Is Information which generally cannot be given to the public but can be given to the <br /> subject of the data. Confidential data is information which generally cannot be given to either the public or the subject <br /> of the data. Our purpose and intended use of this Information Is to annually update our records and records of other <br /> governmental agencies required by law. If you refuse to supply the information,the application may not be issued. <br /> The undersigned certify that the information supplied Is true and correct to the best of their knowledge. <br /> Applicant's Signature. ► Aga 4 - a Date: ;— 9,c) / V <br /> 111 <br /> Property Owner's Signature: te7Q iii Date: t., /I <br /> TYPE OF PERMIT; require <br /> REQUIREMENTS; Except for tree removal permits. all permits <br /> require a completed application form,escrow agreement(signed by the property <br /> owner) and escrow check from owner,two copies of all plans, and three copies <br /> of all grading plans or surveys/site plans <br /> Dock,Residential Seasonal Dock—survey showing proposed dock <br /> Permanent Dock—plans as approved by CUP and copy of LMCD permit(if applicable) <br /> Dock,Commercial 1. Structural plans for the dock <br /> 2. Survey showing the proposed location of the dock <br /> 3. Copy of LMCD permit <br /> Hardcover Permit 1. All Minor or Major Land Alteration Permit requirements apply as appropriate <br /> 2. Hardcover calculations,existing and proposed <br /> 3. Plans <br /> Land Alteration,Major 1. Plans as approved by Conditional Use Permit <br /> 2. Erosion control plan or copy of MCWD Erosion Control Permit <br /> Land Alteration,Minor 1. Survey/grading plan including existing and proposed contours <br /> (Less than 10 cu.yds.within 75'of 2. Amount of fill to be Imported and/or exported and haul route <br /> lake or less than 501 cu.yds 3. Amount of earth to be moved around on site <br /> elsewhere.) 4. Erosion control plan or copy of MCWD Erosion Control Permit <br /> Retaining Wall 1. Plans for wall(s) <br /> 2. Unless repair or exact replacement of existing wall.submit an updated survey with <br /> grading plan Including existing and proposed contours <br /> 3. Hardcover calculation worksheets if in shoreland district <br /> 4. Erosion control plan or copy of MCWD Erosion Control Permit <br /> Stairway to Lake 1. Construction plans for stairway.Including footings <br /> 2. Topographical survey of property with proposed stairs shown <br /> 3. Erosion control plan or copy of MCWD Erosion Control Permit <br /> Structure Permit 1. Construction plans. <br /> 2. Survey of property with proposed structure shown and with setbacks to property <br /> lines,other structures on property and the septic system indicated.The general <br /> location of any sewer and water services should be shown if applicable. <br /> 3. Grading plan If grading Is proposed. <br /> 4. Hardcover calculation worksheets <br /> 5. Erosion control plan or copy of MCWD Erosion Control Permit <br /> Tree Removal Call: 952-249.4600 to schedule a single tree removal Inspection. A re-planting plan/ <br /> management plan required for clear cutting.buckthorn or other intensive vegetation removal. <br /> Updated: November 30.2012 <br />