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APPLICANT/OWNER ACKNOWLEDGEMENT: <br /> • Agrees to provide all information required or requested by the Planning Department; <br /> • Owner agrees to pay the City of Orono for engineering consultant review costs where applicable; <br /> • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant <br /> recognizes that they are solely responsible for submitting a complete application being aware that upon failure to <br /> do so, the staff has no alternative but to reject it until it is complete; <br /> • Acknowledges the attached Escrow Agreement is completed and signed by Owner; <br /> • Some or all of the information that you are asked to provide on this application is classified by State law as either <br /> private or confidential. Private data is information which generally cannot be given to the public but can be given to <br /> the subject of the data. Confidential data is information which generally cannot be given to either the public or the <br /> subject of the data. Our purpose and intended use of this information is to annually update our records and records <br /> of other governmental agencies required by law. If you refuse to supply the information, the application may not be <br /> issued. <br /> The undersigned certify that the information supplied i true and correct to the best of their knowledge. <br /> A licant's Si nature: � � �— ��� �' <br /> Pp 9 _ ,/s � Date: �� � t,l--�� <br /> � <br /> Property Owner's Signature: L��t �;� �r'�t�.�r b �r' Date: .- � � <br /> TYPE OF PERMIT: SUBMISSION REQUIREMENTS: <br /> Except for tree removal permits, all permits require a completed application <br /> form, escrow agreement (signed by the property owner) and escrow check <br /> from owner,two copies of all plans, and three copies of all grading plans or <br /> surveys/site plans <br /> Residential Dock Seasonal Dock—survey showing proposed dock <br /> Permanent Dock- plans as approved by CUP and copy of LMCD permit <br /> Commercial Dock 1. Structural plans for the dock <br /> 2. Survey showing the proposed location of the dock <br /> 3. Copy of LMCD permit <br /> Minor Land Alteration 1. Grading plan including existing and proposed contours <br /> (Less than 10 cu.yds. within 75' of lake 2. Amount of fill to be imported and/or exported and haul route <br /> or less than 501 cu.yds elsewhere.) 3. Amount of earth to be moved around on site <br /> 4. Erosion control plan or copy of MCWD Erosion Control Permit <br /> Major Land Alteration 1. Plans as approved by Conditional Use Permit <br /> . 2. Erosion control plan or copy of MCWD Erosion Control Permit <br /> Stairway to Lake 1. Construction plans for stairway <br /> 2. Topographical survey of property with proposed stairs drawn in. <br /> 3. Erosion control plan or copy of MCWD Erosion Control 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 worksheets if in shoreland district <br /> 4. Erosion control plan or copy of MCWD Erosion Control Permit <br /> Tree Removal Call 952-249-4600 to schedule inspection. <br /> Structure Permit 1. Plans for structure. <br /> 2. Survey of property with proposed structure drawn in and with setbacks to <br /> property lines, other structures on property and the septic system indicated <br /> .The general location of any sewer and water services should be shown if <br /> applicable. <br /> 3. Grading plan if grading is required <br /> 4. Hardcover calculation worksheets if in shoreland district <br /> 5. Erosion control lan or co of MCWD Erosion Control Permit <br /> Last Updated: July,2010 <br />