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Nov �1 14 05: 30p Design � Layout Services 952-471 -8797 p. 2 ' � . APPLICANT/OWNER ACKNOWLEDGEMENT: . Applicant/Owner agrees to provide ail information required or requested by the Planning Department; . Owner agrees to pay the City of Orono for engineering consultant review costs where applicable; . Applicant/Owner certifies that the information supplied is true and correct to the best of his/her knowledge. 7he applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; . Applicant acknowledges the attached Escrow Agreement is completed and signed by Owner; . ApplicanUOwner understands their project may requ+re an initial and as-built survey per City Code Section 86-68. . Some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other j go�ernmental a encies required by law_ If you refuse to supply the information,the application may not be issued. The undersigned certify that the information supplied is true and correct to the best of their knowledge. '�-''�^ �� .--------- Date: II l ApplicanYs Signature: � �✓� a -�`"`��J �� Date: ��1 � / Property Owner's Signature: i�� �— SUBMIS510N REQUIREMENTS: Except for tree removal permits, all permits ' TYPE OF PERMIT: require a completed application form, escrow agreement(signed by the property i � owner) and escrow check from owner, two copies of all plans, and three copies I of all grading pfans or surveys/site plans f Dock, ftesidential Seasonal Dock-survey shawing proposed dock Permanent Dock-plans as approved by CUP and copy of LMCD permit(if applicable� I Dock,Commercial 1. Structural plans for the dock 2. Survey showing the proposed location of the dock � 3. Copy of LMCD permit � Hardcover Permit 1. All Minor or Major Land Alteration Permit requirements appfy as appropriate ', I2. Hardcover calculations, existing and proposed i 3. Plans Land Alteration, Major 1. Plans as approved by Conditional Use Permit 2. Erosion control plan or copy of MCWD Erosion Control Permit Land Aiteration, Minor 1. Surveylgrading plan including existing and proposed contours � (Less than 10 cu.yds. within 75'of 2. Amount of fill to be imported and/or exported and haul route � lake or less than 501 cu.yds 3. Amourtt of earth to be moved around on site � ' elsewhere.) 4. Erosion control plan or copy of MCWD Erosion Control Permit Retaining Wall 1. Plans for wall(s} 2. Unless repair or exact replacement of existing wall, submit an updated survey with � grading plan including existing and proposed contours 3. Hardcover calculation worksheets if in shoreland district � 4. Erosion contr�l lan or co of MCWD Erosion Control Permit ' Stairway to Lake 1. Construction plans for stairway, including footings I 2. Topographical survey of property with proposed stairs shown I 3. Erosion control plan or copy of MCWD Erosion Control Permit Structure Permit 'I. Construction plans. �� 2. Survey of property with proposed structure shown and with setbacks to property �, lines, other structures on property and the septic system indicated. The general � location of any sewer and water services should be shown if applicable. I � 3. Grading plan if grading is proposed. 4. Hardcover calculation worksheets 5. Erosion controf plan or copy of MCWD Erosion Control Permit Tree Removal Call: 952-249-460D to schedule a single tree removal inspection. A re-planting plan/ management plan required for clear cutting buckthom or other intensive vegetation removal. Updated: November 30.2012