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APPt�.i;A�JI'lOI+L�IV�� l�C�Ct1iC3b�lL��.�`aE�iElVT: _v_�_ ____� <br /> !( <br /> . r"-�pplicant�0a:ner agrees to pravlde ail inforss��tion i�equised or requested ey the Pianr�ir=g Gepa�isnent; <br /> . O�avner agrees to pay the City of Orona for eng%neering consuitant review costs wh�re appticable; f <br /> . �.�piicasitfc�t.�ner certi(ias#r;at the infcrn�atior�su}�}�liec4 is tnse��n�i correc#io the besi oE h�siher krrowiedge. Tfie applscant recegn+zes � <br /> that they ar� solaSy responsibfE for subin��ting a cor-�plete app`sscaticr. taeing a�vare that upo� fai�ure to dn sa, the sta� has na � <br /> a4ternativs b��t to reject if untsi it is con�piate; � <br /> . Applicant acknowledges the attactYe�tscraw Agreernent is cempleted and signed by O�.�sies: � <br /> . AppiicantiG�wraer undersian@s tlyeir�Zroject may require an initiat andlar as-6uilt survey per City Code SecYion$6-f:S. � <br /> , Soine or ail of the snfarma:ion that you are asked to psavide nn this ap�?lscatian ts ckassified by SYate iaUv as eit.her �rivate or � <br /> cc�r�fsdenttal. Prsv�te data ss information vvhic�� g�;neraily cannot be given to the pu�lic but ca�� �e �ivan is�#h� s�;bject of the data. � <br /> �:;r�nfider�t�ai d�#� is i;zfcrn�atsor� �Jvhich gen�raily cannot be given to esiher the public or the subjer�t of ihe �at�. Qur purpase aiz� i <br /> I ir�tended iase af this �nfoi�nafiian is to annuai'sy update our recGrds arz� record= cf othar �overnmental agencies i�2yuirec� I�y lav�� ifi j <br /> � ���refuse to su ��,�ly tYaE�nforrnation, the�.��l+r,ation ma�not be+ssuc�. <br /> __� <br /> The undersigned r,eriify that the i��fcr �ti�n suppiied is true a�a carrert to the s�est of their kno}1�ledge. <br /> ��� ���J �i � ��---� Uate: 2�`�r/fa�i 6__.------ <br /> Applicant's Signature: �__s.�_ U- -� -- <br /> Pr:�perty Ql,rr�er's Signature: _��,,�------ C�ate: Z.S��!!�Z_---?=�/:�.-------. <br /> -- -- <br /> ------------------------------------------------ ----------------------------------------------------------------------------------------------, <br /> � - - - j SUBf�ISS10N REQUIi�EP�ENTS: rxcept for tree rerr�oval pernvis, a3i permits require a campSeted I <br /> � TYPE OF PERMIT: � appl'scaiion iorm, escrow agreemeni {signed by llze �raperty ovrner) and escraw check fre�rn owner, i <br /> ; � tr�vo capi�s of each,v,r�ere applicabfe, plans,landscape plans,9rading Pfans,surveys ar site plans. � <br /> �DpCk,Commere9a3 1. Structurai pians for the dock �� i <br /> � � �. 5urveyisite p!en shoNnng the propased ixatio�of the dock 1 <br /> � 3. Cr�py of LMi�•D permit __.-_- - - -----------------------_.._e�—� <br /> �.--_-__________._._�__.-_�-�Seasonai Dock-survey st�o�u+ng pn�pvsed dack <br /> Dock,Res�dential , <br /> ' ---i-Perrnanent.Docl<-Pians as ap�rcved by CUP and copy ot LMCD_pemiit tif ap�licable?_------- -------,---------------.---.---� <br /> ' 9-IaPdGOV�"f P'�'t't'111L f 1. ,411 Mi�or or Plajai�L.and f;lterati�n Penrit requiserr�ents appiy as a�proNria:e � <br /> ; E 2 Hardcover cafcuiaYions,exisifng and proposed <br /> � ! "i Surrey _ .._._ _._-_� -------�—._� <br /> �---------_�- ��_} <br /> ; Land Aiteration, Majar I 1 S�zrveyigrading plan includirig exist4ng and preposed contours as appr�veci bv r�an;ist�enal Use Pennit � <br /> � i 2 Erosion control plan. � <br /> � � 3, �,copy of t:�innehaha Creek 4�latershecl District(Pv1ClNG'j perrntts or docuirentaticn from tt�e MCWL�staYsng tne <br /> ; Prapose�3 praject cires not tric�ger an��of their perrnsttirg regi�,rements. f'i�ase note,ttae City tiri8!nat issu�"a � <br /> ; buildsr�g p�rmit wlthotrt it�forma#ion frorn the iU1CWD. ___________.- --- � <br /> �L��d f!lteCation,Nlin� �. Surreyigrading�laii ir�cluding eristing and prc�pased contcurs Y-- <br /> I 2. Amount of til?to be ina�artec!and.for ex�orted and fzaul rcute ( <br /> ! � 3 Amnunt of eartfz ko be inoved arouno on site ; <br /> ; I 4. Er�sinn coniro!plan. � <br /> ; � 5. A cnpy ai Minnehaha Creek U`Jatershed districf{�r1C4JD)permits or cfocu^�!er�taYiar�from!he P/�CV'JD stating Yhe � <br /> � proposed project aoes nat frigger any of Yheir perrnitting requiremen#s. Please noie,ttie City will r�oi issue a � <br /> ; bisiid�n�permit without ir�forrriatsuez from ti�e NSCWL�. _�_.._------------ _.._�_�.� <br /> r-__-_------ ---�----- <br /> ; Retalnsng Wai! 4 1, Piansforwa?li�.} <br /> , i 2, Jnless re�asr or�xact ra�siacc:ment flf existing�.�il,submit as�updaTed sas��ey v�ifh gradsa�g p!an includ+ng existing a�id � <br /> � proNosed c.ontours y <br /> � �( 3. Har�tcover caicu'sation wnrksheeis sf in shcseiand district <br /> � t 4. Erosicn car�tro4 plan � <br /> ! � 5. A cupv of P,�inr�ehaha Creek�i`Va#ershed District!T�iC'+NDj permsts or dacumentaiion from tttie t�G"�lU stat!n�the � <br /> � i p;opcsed prc;ject docs nat trig�er asr�of thzir permittin�requirame�ts Please nofe,t4ee City wif9 not iss��e a � <br /> j � S)SiSICI91lf��C'i9'T1P�W9��"fOltY 1CIfOfi'i18t40i1�FOR!t�l�MCL�D. --� <br /> �.--__—__.__—.____"___..._--------"}--_�._._—_ ---------��_._..___--__—.___..._�....��N____—__�"�--------___—.._�.� <br /> j Sta'sr4vay o�Lsfits to I 1 Corostruriron plans fc�r stainntay cr lift,includ;r�g`ootirogs � <br /> Lak� ' Topograohical suzvey oF prapeity�^�th prr�hos���stairs or lift shot•.�� <br /> I �I 3. Ero<ion cot�tiol plan ` <br /> � I q_ A ca�y of S��knnehaha Creek VZlatershed CisYrict iPACJU�3)per�nRs ar dacumentat,on from the?�ACWD stating the � <br /> � � proposed pr�jact does not triyger any of the,r permi:ting requirements. Pfease note,ihe Gsty witl nat issue a � <br /> � � buitdin perrnit�raiti�nut info�mation from the tJiCWD. _..__ <br /> '��----�- Carsts�ctsan Eans.��v � <br /> I Structure P2fsn�t ' � <br /> ' � 2. Surve��%site plan of proaert�y�r,ritYz prU�osed structure sho.hm and 4.�ith setbacks to prcperty iines,other sisuciuses on <br /> ; I property and the septic system i�r.iicated.The�eneral;ocation�f any se��rer and vdater sesvices shaulci be shown sS � <br /> i � cZX5p�1C���•w. � <br /> '� � 3. Grading plan if gsading is prcposed <br /> � � 4. Hardcaver calculaiien�^x�rksheets <br /> ; f 5. Erosion contro!�ian. � <br /> � I 5. A ca�y of Msrin�haha Creek lNatershe�i L`isYi sct(fAC+.�Vi)}�ermits or doci�rnentation fr'om the MCVUQ stating the � <br /> i 1 proposec�proj�ct daes not tr4gger any oi their permii#ing reqairen�ents. Ptease note,t�"!E Git�f YJIII llOf ISSSJB� <br /> I building permit wi#hout information from the IL�IGWD. ���� �—� <br /> r_�__u—�_~�� Cc'3II. �JG-G��bCS�t0 J'F;e�uie an inspecfion fc�r removai o1 an sndiVttSLIdI tC62(51. %1 1"0-P�BftCtfl�PI2Ct!�fOSltYtl CO11L!"UE r. <br /> � Tree Removal —�---- � <br /> ; � mana�ement pfan may be r�z+red f�r ciear cuttin_c�,buctcthotn or other irztensive vegeia:iUn remo�_ai��__ _____________� <br /> �—_________________________�__�- <br /> lSpdated: ^tlay�'015 <br />