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APPLICANT/OWNER ACKNOWLEDGEMENT: <br /> • ApplicanUOwner agrees to provide all information required or requested by the Pianning Department; <br /> • Owner agrees to pay the City of Orono for engineering consultant review costs where applicabie; <br /> • ApplicanUOwner certifies that the information supplied is true and correct to the best of his/her knowledge. The <br /> applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure <br /> 'to do so,tne stai�has no aiternative but'to rej�ct i1 untti5 it ys c����pye"te�, <br /> • Applicant acknowledges the attached Escrow Agreement is completed and signed by Owner; <br /> • ApplicanUOwner understands their project may require an initial and as-built survey per City Code Section 86-68. <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 the <br /> Si.iuJBCi Gi i;e daia Lon;ic�n;iai :n.S 15 ;;;;''.`;7132;C;; ;N17fi:i; y�l�Efd!!f ;vl��`;t7;uE giYE i ID B1I17�f I1Z2 j'iut711C Oi:i12 SliuJcCi ' <br /> of the data. Our purpose and intended use of this information is to annually update our records and records of other <br /> governmental agencies required by law. If you refuse to supply the information, the application may not be issued. ' <br /> The undersigned certify that the information supplied is true and correct to the best of their knowledge. <br /> � <br /> Applicant's Signature: � � '._.�j,��,��,, Date: � � � <br /> Property Owner's Signature: ��~�`�f(�V�S�..:_J n �.�1�/��/l� Date: o�, � � <br /> SUBMISSION REQUIREMENTS: Except for tree removal permits, all permits <br /> TYPE OF PERMIT: require a completed application form, escrow agreement (signed by the property <br /> owner) and escrow check from owner, two copies of all plans, and three copies <br /> of all grading plans or surveys/site plans <br /> __- - ---. <br /> Dock, Residential Seasonal Dock-survey showing proposed dock <br /> Permanent Dock-plans as approved by CUP and copy of LMCD permit <br /> Dock, Commercial 1. Structural plans for the dock <br /> 2. Survey showing the proposed location of the dock <br /> 3. Copy of LMCD permit <br /> �riv�nlay p.grmit ''•. Aii �'V�,�..*^.�i vi;"u�a;���?���".ltei�`:3�!' ��i,i�it ;c�u;`4�r?��1t� - <br /> 2. Hardcover calculations, existing and praposed <br /> 3. Driveway plans <br /> Land Alteration, Major 1. Plans as approved by Conditional Use Permit <br /> 2. Erosion control plan or copy of MCWD Erosion Control Permit <br /> Land Alteration, Minor 1. Grading plan including existing and proposed contours <br /> �� _:S�i.,?n '!(� C,_,�� it�;� �G� s_ 7 .,r,� + ..cc:ii ir. }.� im�n,gr,ta(1 �[?,�tnr A�n:ko� 3f?Ga �??�!'�Jllt@ — <br /> , cts. � .��� ,.. L: mo��n: ��,� .� .. <br /> lake or less than 501 cu.yds 3. Amount of earth to be maved around on site <br /> elsewhere.) 4. 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, submit an updated survey with <br /> grading plan including existing and proposed contours <br /> 3. Hardcover calculation worksheets if in shoreland district <br /> t 4. Erosion control 1an or co y of Mi;v�it�Erosion Controf Permii <br /> Stairway to Lake 1. Construction plans far stairway, including footings <br /> 2. Topographical survey of property with proposed stairs shown <br /> 3. Erosion control plan or copy of MCWD Erosion Control Permit <br /> Structure Permit 1. Plans for structure. <br /> 2. Survey of property with proposed structure shown and with setbacks to property <br /> I�neJ, `v`��er Jfltiiii�.1(t`$i3���I�t�iLF�y�r7e'�t�e S��}!1L$Y$lCrii +nci��ied l�ht�eneral <br /> locatian of any sewer and water services should be shown if 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 /> Tree Remov8l Call: 952-249-4600 to schedule a single tree removal inspection. A re-planting plan/ <br /> mana ement lan required for clear cuttin , buckthom or other intensive ve etation removal. <br /> Updated April 23,2012 <br />