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Feb 15 11 12:17p Norling Landscapes 9524711181 p.4 <br /> i <br /> APPLICANTIOWNER ACKNOVIREDGEMEN7: <br /> • Agrees to provide all informa�ion required or requested by the Planning Department; <br /> • Owner agrees to pay the Cify of Orono for engineering consultant re�iew costs where ap�l�cable; <br /> • Certifie� that tt�e informa6an su�plied is trve and correct to the best of hislher knowledge. The applicant <br /> recogn►�zes that they are solely responsible for submitting a compleie application being aware that upon failure fo <br /> do so,the staff has no altemative but to reject it until it is complete; <br /> I <br /> • AcknowEedges the attached Escrow Agreertzent is cornpleted and signed by Owner; <br /> • Some or all of the i�formation that you are asked to provide on this applicafion is classified by State law as either <br /> private or corifidential_ Private data is ir�formation wFtich generalty cannot be given to the public but can be given to <br /> the subject of the data. Conidential data is informatior�which generally cannot be given t�either the public or the <br /> subject of the data_ Our purpose and intended use ofi this information is to annua9ly update our recards and records <br /> of ofher governmentaf agencies required by law. If y�u refuse to supply the information, the application may not be <br /> issued. <br /> The undersigned certify that the information ied is true and correct to the best oF their knowaedge. <br /> Applicant's Signature: � Date: a���—�� <br /> �J � <br /> Property Owner's Signature: Date: ��� <br /> TYPE OF PERMIT: S�JBMISSION REQUIREMENTS: <br /> �xcept For tree remo�af permits, all pe�mits require a completed application <br /> farm,esctow agreQment(signed by the property owner)and escrow check <br /> ' from owner,Ewo copies of all plans, and three copies of all grading pla�s or <br /> surveys/site p�ans <br /> Residential Dock Seasonal Dock—surve showin <br /> y g proposed dock <br /> Permanent Dock-plans as approved by CUP and co�y oF LMCD permit <br /> Cornmercial Dock i. 5tructural plans for the dock <br /> 2. Survey shawing the prvposed location of the dock <br /> 3. Copy of LMCD�ermit <br /> Minor Land Alteration 1. Grading plan including existing and proposed contours <br /> (Less thah 70 cu.yds_within 75' oF lake Z, Amount of fill to be imported and/or exported a�d haul route <br /> or less than 5�1 cu.ydS elsewhere.} 3. Amaurrt vf earth to be moved around on site <br /> 4. Erosion control plan or copy �f MCWD Erosion Control Permit <br /> Ma,�or Land Alt�ration 1. Plans as approved by Co�ditional Use Permit <br /> � 2. Erosion cantrol plan or copy of hACWb Erosion Corrtrol Permit <br /> Stairway to L.a e 1. Construction pians for stairway <br /> 2. Topograpf�icaf survey of prop�rty with prop�sQd 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 ot existing wall, grading plan including <br /> existing and proposed contours <br /> 3. Hardcover caEculation warksheets�f in shoreland district <br /> 4. Erosion control�lan or copy of MCWD Erosion Control Permit <br /> Tree Removal Call 952-249-4600 to sch�dule in5pection. <br /> Structure Perntit 1. Plans for structc�re. <br /> 2. Survey of property with proposed structure drawn in and with setbacks to <br /> property�ines, oEher struct�res 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, Greding p�an if grading is required <br /> 4. Hardcover calculation worksheets if in shoreland district <br /> 5, Erosion control lan or co of MCWD Erosion Cantrol Permit <br /> Last Updated: Odpber,2010 <br />