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08-26-14; 10:36AM; ; # 3/ 4 <br /> APJ'UCANT/OWNER ACKNOWLEDGEMENT: <br /> ' • AppliCBnt/Owner agrees tp provlde all informaUon requhed or requesled by the Planning DepaAment; <br /> • Owner agrees to pay the City of Orono for vnginovring consultant roview costs whvre applicabie; <br /> • ApplicanUOwner certifies that the information suppiied is true and corroct to the best oi hislher knowledge. The applicant recognizes <br /> that they are solely responsible for submitting a wmplete application bein�g aware lhat upon fail�re lo do s�, ihe slaff has no <br /> allemative but to reject it until it is compiete; <br /> . Applicant acknowiedges tho attached Escrow Agreement is compleled and signed by Ow�vr. <br /> • ApplicanUOwner understands thei�project may�equire aa initial and as-buitt survey per Cily Code SecHon 88-68. <br /> • Some or all o( Ihe infonnation that you are asked to provlde on this appfication ts classiAed by State I�w as eilher private or <br /> confide�Ual. Privale dale is intormatlon whlch generally cannot be given lo the public but can t�given to ihv subject of the data. <br /> Confidentlal data]s InformaUon whlch generally cannot be gtven lo elther the public or the subjed of the data. Our purpose and <br /> intended uso ot this iniormativn is to annually updat�ow rocords and rvcords of othar govemmental agencfes requtred by law. lf <br /> ov refuse to su the information,the a licalion ma not be issued. <br /> The undersigned cehity that the i fo atio 's�plied is true d correct to the best of thelr knowledge. <br /> Applicant'sSignature: , Date: ��• ZS�- �� <br /> Property Dwner's Signature: • Date: L,Q — �5 "' �`� <br /> SUBMIS510N_R�QUIR�MENYS: Except for tree removal perm►ls, all permits requirv a compleled <br /> TYPE OF PERMI_T: appllcation Torm. escrow agreement(signed by the property vwnvr) and escrow check from owner, <br /> two coples of all plans,and three copks of all grading plans ar survays/site plans <br /> Dock,Commercial 1. Structwal phans tor lha dock <br /> 2. Swvey shbwing Ihe prvposed lowtion o1 the dock <br /> 3. COA Of LMCD pg►mll <br /> Dock,ResldenUal Seasonal Dock-aurvey shvw�ng proposed dodc <br /> Permanent�odt— lans as a roved CUP and o0 of LMCD il d appQcabte <br /> Hardcovar Pormit 1. Nf Minot o�Msjor Land Alteralion Permit requirements apply as approprlato <br /> 2. Hardoovor cal�ul�lbr►s,�Isting and p►ppp6gd <br /> 3. Survey <br /> Lend Altelation,Majqr �. Survay/grading plan lncluding exlsting and p►oposed oonlouf5 as approved by Conditional Use Pemfri <br /> 2. Eroslon Conlrol plan. <br /> 3. A Cppy of Mlnnehaha Creek Walershed DlsUict(MCWD)permils or doCumentation trom the MCWD staling the <br /> p�oposed project does nol l�igger any af Iheir permifl(ng requlremonls. Please nOte.the CNy will no!issue a <br /> bulldln rmlt wlthout infonr►atlon 1�om 1he MCWD. <br /> Land Alteratlon�Mfnor 7. Survey/grading plan including euisting and proposed conlours <br /> (Less than 10 cu.yds. 2• Amou��of ilq to be fmponed and/or exported m�d haul route <br /> within 75'of lake or less 3. Ama►nl of eaM b be movcd around on spe <br /> than 501 cu.yds 4. Eroslon control plan. <br /> elsewhere. 5. A capy of NBnnehaha Creok Watershed Distrkx(MCYVD)pennits or documenlation trom tho MCWD slaling the <br /> � proposed projed does not trigger arry af thclr pertnitting�oqulrempntg, Please rwte,the City wll)not issue a <br /> bulldln rmlt wlthout IMonnatlon lrom 1he MCWO. <br /> Retaining Wall 1. Planslorwall(s) <br /> 2. Unless repair or exact rpplacement of e�osting vratl,submit an updated survey wlth grdding pl7rt M�duding existing and <br /> proposod pon�urs <br /> 3. Hardcover calta�lalion worlcsheels if in shoretand disUid <br /> 4. Eroslpn con�rol Plan <br /> 5. A copy of NNnnahaha Creak Waktrshed DlslrlCl(MCWD)permll5 Or doGumenteUon(rom the MCWD staling tho <br /> proposed proJect does no�irigger any ot thelr permllting requ'rrements. Please noto,the Clry w111 not Issue a <br /> buildln armlt wlthout IntortnaUon lrom!h0 MCWD, <br /> Stairway or tatts to �. CoRSIroWIon plans for stalnvay or lift,indudin9 footings <br /> Lake 2. Topopraphical survey of p►oporty w(th prpppsod Slalrs pr INI ShONM1 <br /> 3. Erosbn oontrol plan <br /> 4. A copy oi Nennehaha Creek Walershed DlstNcl(MCWD)permifs or documenlalron trom the MCWD staUng the <br /> proposed proJe�1 does not Uigget eny of Ihelr permitlinp requiremenLs. Plaasa n01e.the City wlll not is9ue a <br /> bulldfn rmlt wqhout fnlormatlon irom tha MCWD. <br /> Structura Permit 9. Cons�nic�ion plans. <br /> 2. Survey oi propeny wfth proposed suvcwre shown and wilh selback5 4o property Mos,olher slruaures on property <br /> and U�e septic syslem ir�dicated.The generallocaUon of arry sewer and wdtef seNlCes Should be shown it appllcabte. <br /> 3. Grading plan if grading ls proposed. <br /> 4. Hardcover nlculaUon rwrksheels <br /> 5. Erosion contro!plan. <br /> 6. A oopy of Mlnnehal�a Creek Watershed�IsUicl(MCWD)pErm�s or documenbtion lran the MCwp stating Ihe <br /> proposed project does not Irigger any of Iheir permilUr►g requiremanls. Plaase note,the Clly wil)not Issua a <br /> bulldln ermlt wllhait InformaUon irOm the MCWO. <br /> Treo Removal C,all: 952-249-4600 to sChedule a single tree remaval inspecGon. A re-planling p12N e�oslon control/management plan <br /> ked tor dear cut buckthpm a olher inlensive etation removal. <br /> Updaled: January 20T4 <br />