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APPLICANT/OWNER ACKNOWLED(3EMENT: <br /> • ApplfcantlOwner agrees ta provide all information required or requested by the Planning Department; <br /> • Ownor agn�s to psy ths Cfy of Orono for enginesring aonsultant roviaw costs wharo appllcable; <br /> • ApplicanUOwner certifies that the information suppNed is true and correct to the best of his/her knowledge. The <br /> appliccant recognizea that they are solely responsible for submitting a complete application being aware that upon failure <br /> to do so,the sta(f has no aftemetive but to reject it until it is complete; <br /> • Applicant ecknowledyes the attached Escrow Agreement ia completed and signed by Owner; <br /> • Applicant/Owr�r understands their project may require an initial end as-built survey per Gty Code Secflon 86-68. <br /> • Soma or all of the infortnation that you are aaked to provfde on thls application is claesifled by Stale law as either <br /> private or coMldeMlal. Private dala is iniortnation which generelly cannot be given to the public but can be ghren to the <br /> subJect of the data. Confidential date Is information which generally cannot be glven to eMher the publlc or the subJect <br /> ot the date. �ur purpose and intended use oI this infortnation is to annually update our records and records of other <br /> ovemmental a enc�es re uired b law. If u refuse to su 1 the rnformation,ihe a iC�tion me nOt be iasued. <br /> The undenpned certify that the infortnetlon supplied is true end oorcect to the best of their knowledpe. <br /> ApPllcant's 8iynatun: � � Date: /0 �� f/Z <br /> Property OwnePs Signature: Date: /f) <br /> S 1 1 MENT : Except for tree removal permits, all p�rmlts <br /> TYPE OF PERMR: ��quire a complated appllcatbn form,�scrow agre�m�nt(slpnad by th�prop�rty <br /> ownar)and escrow ch�ck from owner,two copl�s of all plans,and thn�copies <br /> of all gradtng plans o�aurveyalslto plans <br /> Oock,Rasld�ntial Seasonaf Dock-�urvey showing propwed dock <br /> Permanent Dock-plans as approved by CUP and capy of LMCD permit <br /> Dock,Comm�re 1, SVuclural plans for the dock <br /> 2. Survey showing the proposed locatlon oi the dock <br /> 3. Copy of LMCD permit <br /> �ow�Y Po�� , 1. All Minor or Major Land Alteration Pertnit requirements <br /> 2. Hardcover calculatio�s,existing and proposed <br /> 3. Driveway plans <br /> Land �ra n. o� 1. lans as approved by Conditional Use Permk <br /> 2. Erosio�oontrol plen or copy of MCWD Erosion Control Pertnit <br /> Land �ntion, no 1. Grading plan inGuding exieling and proposed contours <br /> (l.ess . n 75'of 2. Amount oi fiB to be imported andlor exported and haul route <br /> lake or less than 501 cu.yds 3. Amount of earth to be moved around on sile <br /> elsewhere.) 4. Erosion control plan or copy of MCWD Erosion Control Pertnrt <br /> Retafn(ng Wall 1. Plans fo�wall(s) <br /> 2. UMeas repair or exacl replacement of exisUng wall,submd an updatad survey with <br /> grading plan including existing and proposed contours <br /> 3. Ha►dcover Calcuietion worksheets it in shorelend distrtct <br /> 4. Erosion conUol plan or cop of MCWD Erosion Contrd Permit <br /> s����Y��k� 1. Construction plans for atairway,including footings <br /> 2. Topogrephical survey of propeny with proposed stairs shown <br /> 3. Erosion control plan or copy oi MCWD Erosion Control Permft <br /> 8trucdin P�rmk 1. Plans for stnicture. <br /> 2. Survey of q�operty wlth ptoposed structure shown and with setbacks to propeRy <br /> lines,other structures on property and the septic system indicated.The ganeral <br /> locatian of any sewer and water services should be shown if appFcade. <br /> 3. Grading plan If grading is requlred <br /> 4. Hardcover calculation worlcaheets if in ahoreland district <br /> 5. Erosion control lan or co of MCWO Eroslon Contrd Permit <br /> Tne Romovaf Call: 952-249�4600 W s edule e slnple tree remove na on. ne-plant pla <br /> man ement pl� urced for clear cutti ,bucktlwm or other Intenaive etation remoral. <br /> Updeted: Apid 23,2072 <br />