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' ' ' . <br /> RPPUCANTIOW �ER ACKNOWLEDGEMENT: - <br /> . qpplicanUown agrees to provide all Information required or requested by the Planning Department; <br /> . Owner agreeel�o p�y the City of Orono for engtneering consultant review costs where ePknow e'd,e. The applicant recognizes <br /> . Applicsnt1054me certiftes th8t the Information s9pplied i6 trUe andl cationt being aware hathupon failure tv do so, the staff hes no <br /> that fhey Sf9 �lely responsibls fof submlttin a complete app' <br /> alternative but� reJect it unfil it is complete; <br /> . Applicant aGk wietiges ihe aitached Eecrow Agreement is completed and signed by Owner; <br /> . qppiicanUO er understands their projeat may require an initl8l andtor as•built suNey per Cffy Code Seation 86-68. <br /> . Some or all q�tPie information that you are asked to provide on thts application is classified by State law as either private or <br /> eonfidential. P;rivate data is information whlch generally cannat be given to the public but can be given to the subject of the data. <br /> Confldential data is information which generally cannot be given to either the public or the sub)ect of the data. Our purpose and <br /> intended use Ic�f this Informatlon is to annualiy update our records and records of other govemmental agencies requfred by law. If <br /> ou refuse to su i the lnformation,the a lication ma not be tssued. <br /> i <br /> The undersigne�lcertify that the information su pfi is ue and correct to the best of their knowledge. <br /> � �--' Date: y-��-1 G, <br /> Applicant's Signature: y Z� r� <br /> � Date: <br /> Property Owner'�Signature: <br /> I <br /> ! ! SUBMISS O QUIREMENTS: Except for tree removal permits, all permits requlre a completed <br /> TYPE OF PERMIT: applicatlon for+n, escrow agreement{signed by the property owner) and escrew check from owner, <br /> I j two copies of each,where applicable,plans,landscape plans,grading plans,surveys or slte plans. <br /> Dock,Commer'1�1 1. Structural plans for the dadc <br /> 2. Survey/site plan'showing the proposed IocaUon of the dock <br /> I 3. Copy of LMCD permit <br /> DoCk,Residentiei Seasonal Dock�survey showing proposed dodc <br /> G � Pertnanent Dock— lans as a proved by GUP and co y of LMCb permit(if ap licable <br /> Hardcover Per t 1. All Minor or Major Land Alteration Permit requirements appiy as appropriate <br /> � 2. Hardcover calculatlons,exisUng and proposed <br /> <br /> Land Atteration,Major 1. Survey/grading plan Including exisUng and proposed contours as approved by Conditional Use Permit <br /> I I 2. Erosion control plan. <br /> I i 3. A copy of Minnehahe Creek Watershed Disbict{MCWD)permits or documeMatfon from the MCWD stating e <br /> proposed proJect does not trigger any of thelr permitting requirements. Please note,the City will not issue a <br /> � I butldin ermitwithout informatfon from the MCWD, . <br /> Land Alteratio� Minor 1. Survey/grading plan including e�sting and proposed contours <br /> 2. Amount of fili to be imported andlor exported and haul route <br /> i 3, Amount of earth to be moved around on site <br /> � 4. Erosion conirol plan. <br /> � ! 5. A copy of Minnehaha Creek Watershed District(MCWD)permfts or documentaUon from the MCWD sta8ng the <br /> � proposed project does not trigger any of their permitting requirements. Please note,the City will not issue a <br /> � buiidin ermit without information from the MCWD. <br /> Retaining Wall 1. Plans for watl(s) <br /> 2, Unless repair or exact repiacement of existing wall,submit an updated survey with grading pian inciuding e�dstlng and <br /> ; proposed conlaurs <br /> 3. Hardcover calculaUon worksheets if in shoreland district <br /> I i 4. Erosion contrdi plan <br /> 5. A copy of Minpehaha Greek Watershed D(strict(MCWD}permits or documentation from the MCWD stating the <br /> � proposed proJect does not trigger any of their permitting requirements. Please note,the City will not issue a <br /> i buildin rm(t without informatfon from the MCWD. <br /> Stainnray or l�l s to 1. Conshuction plans for stairway or IIft,including footlngs <br /> 4ake 2. Topographical survey of property with proposed stairs or itft shown <br /> 3. Erosion control plan <br /> 4. A copy of Minnehaha Creek Watershed District(MGWD)permits or documentation from the MCWD statlng the <br /> proposed project does not trigger any of thelr pemtltting requirements, Ptease note,the Clty wi►1 not tssue a <br /> buildin ermtt without informaUon from the MCWD. <br /> Structure Pe�'t'�it 1- Construction'plans. <br /> � � 2. Survey/site plan of property wfth proposed structure shown and with seffieoks to property lines,other structures on <br /> � I propetty and the septic system indicated.The general location of any sewer and water services should be shown ff <br /> I appticable. <br /> i 3, Grading plan if gradtng is proposed• <br /> � 4. Hardwver calculafion worksheets <br /> � 5. Erosion control plan. <br /> 6. A oopy o(Minnehaha Croek WateTshed Disfict(MCWD)permlts or documentation from tho MCWD stating the <br /> proposed proJeci does not trigger any of thefr pertnftting requlrements. Please note,the City wlll not isaue a <br /> butldin ermlt without informdtion from the MCWD. <br /> Tree Remc�Yai Cali: 9&2-249-4800 to schadule an in5pection for remov8l of an indiVidual tree(s). A re-plantlng plan/erosion control! <br /> mana emeni lan ma be re uired for clear cuttin ,buckthom or othar intensive ve etation removal. <br /> I <br /> i � <br /> Updatj�i: May 2015 <br /> i <br /> ii <br />