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Feb 15 11 12:17p Norling Landscapes 952471 1 1 81 p.4 <br /> � <br /> APPLICANTlOWNER ACKNOW�EDGEMENT: <br /> • Agrees to provide all informaiion required or requested by the Planning Department; <br /> • Owner agrees to pay the City of Orono for engineering consultant review costs where ap�licable; <br /> . Certifie�s that the informa6on supplied is true and correct to the be5t of hisfher knowledge. The applicant <br /> recognr,zes that they are solely responsible far submitting a complete application being aware that upon failure to <br /> do so,the staff has no afternative but to rejeci it until it is complete; <br /> i <br /> • Acknovv�edges tE�e attached Escrow Agreerrzent is completed and signed by Owner; <br /> • Some or all of the i�formation that you are asked to provide on this application is class�ed by State law as either <br /> private ar confidential_ Private data is information which generally ca�not be given to the publ€c but can be given to <br /> the subject of the data. Confidentiaf data is informatior�which generally cannot be given to either the public or the <br /> subject of the data_ Our pur}�ose and intended use�f this infoRnation is to annuaily update our re�ards and records <br /> of other govemmentaE agencies required by law. If y�u refuse to supply the information, the application may not be <br /> issued. <br /> The undersigned certify ihat the information ied is true and correct to the best of their knowledge. <br /> Applicant's Signature: � Date: �/��-�r <br /> Property Owner's Signature: .� Date: —[f <br /> � <br /> TYPE OF PERMIT: Sf1BMISSION REQUIREMENTS: <br /> �xcept for tree removal perm�ts, all permits require a completed application <br /> farm,escfow agreement{signed by the prflperty owner)and escrow check <br /> ' from owner,two copees of all plans, and three copies of all grading plans or <br /> surveyslsite pians <br /> ResFdential Dock Seasonal Dock—sur�e showin <br /> y g proposed dock <br /> Permanent Dock-plans as approved by CUP and copy of LMCD permit <br /> Commercfal Dock i_ Structural plans for the dock <br /> 2. Survey showing tF�e proposed location of the dock <br /> 3. Copy of LMCD permit <br /> Minor Land Alteration 1. Grading plan incfuding existing and proposed contours <br /> (Less than 10 cu.yds.within 75' of lake Z, Amaunt of fill t�be imported and/or exported and haul route <br /> or less than 501 cu.yds elsewhere.) 3. Amaurrt of earth to be moved around on site <br /> 4. Erosion control plan orcopy of MCWD Erosion Control Permit <br /> Major Land Alt�ration 1. Plans as approved by Conditional Use Permit <br /> I2. Erosion control plan or copy of MCWD Erosion Contral Permit <br /> Stairway fio La e 1. Construction pfans for stairway <br /> 2. Topogrepf�ical survey of property with propos�d stairs drawn in. <br /> � 3. Erosion control plan ar copy of MCWD Erosion Corrtrol Permit <br /> Retaining Wall, 1. Plans for wall(s) <br /> 2. Unless repair or exact replacement of existing wall, grading plan including <br /> existing and proposed contours <br /> 3. Hardcover calculation warksheets�f in shoreland district <br /> 4. Erosion control�lan or copy of MCWD Erosian Control Permit <br /> Tre� Removal Call 952-249-4�600 to schedule inspection. <br /> Structure Permit 1. Plans for struct�re. <br /> 2. Survey of property with proposed structure drawn in and with se#backs to <br /> property lines, oEher structures on property and the septic systern indicated. <br /> The general iocation of a�y sewer and water services should be shown if <br /> applicable. <br /> 3. Grading p�an if grading is requ'rred <br /> 4, Hardcover calculation worksheets if in shoreland district <br /> 5, Erosion contral lan or c� of MCWD Erosion Cantrol Permit <br /> Last Updated: Ociober,2010 <br />