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�. . ': <br /> , � a <br /> � <br /> APPLICAI�"r�/OWNER ACKNOWLEDGEMENT: <br /> • . Agrees to provide all information required or requested by the Planning Department; <br /> • Owner agr+ees to pay the City of Orono for engineering consultarrt review costs where applicable; <br /> • Cer6fies 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 altemative but to reject it until it is complete; <br /> • Adcnowledges the attached Escrow Agreemerrt is completed and signed by Owner; <br /> • Some or all of the infoRnation that you are asked to provide on this application is Gassfied 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 rec�ords and records <br /> of other govemmerrtal agencies required by law. If you refuse to supply the information,the application may not be <br /> issued. <br /> The u�dersigned certify that th '�formation supplied is true and correct to the best of their knowledge. <br /> ApplicanYs Signature: 1 Date: � �2��Z �( � <br /> Property Owner's Signature: � Date: � (Z� � �( � <br /> TYPE OF PERMIT: SUBMISSION REQUIREMENTS: <br /> Except for tree removal permits,att permfffi require a compteted applicatlon <br /> fortn,escrow agreement(signed by the property owner)and escrow check <br /> from owner,two copies of all plans,and three copi�of all grading plans or <br /> surveys/site plans <br /> Resider�tial Dock Seasonal Dodc�unrey showing praposed dodc <br /> Permanerrt Dodc-plans as ap�oved by CUP and copy of LMCD permit <br /> Commercial Dock 1. Structural plans for the dock <br /> 2. Survey showing tl�e proposed location of the dodc <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, qrnourrt of fill to be importcd and/or exported and hauf 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 Corrtrol Permit <br /> Major l.and Alteration 1. Plans as approved by Conditional Use Permit <br /> 2. Erosion control plan or copy of MCWD Erosion Corrtrol Permit <br /> Stairway to Lake 1. Construction plans for stairway <br /> 2_ Topographical survey of property with proposed stairs draMm in. <br /> 3. Erosion corrtrol plan or copy of MCWD Erosion Corttrol Permit <br /> Retaining Wall 1. Plans for wall(s) <br /> 2. Unless repair or exad replacement of existing wall,grading plan ir�cluding <br /> existing and proposed corrtours <br /> 3. Hardcover calculation worksheets if in shoreland district <br /> 4. Erosion corrtrol plan or copy of MCWD Erosion Control Permit <br /> Tree Removal Call 952-249-4600 to schedule inspec6on. <br /> Structure Pertnit 1. Plans for structure. <br /> 2. Survey of property with proposed structure drawn in and with setbacks to <br /> property lines,other structu�es on property and the septic system indicated <br /> .The general location of any sewer and water services should be shov+m if <br /> applicable. <br /> 3. Grading plan iF grading is requined <br /> 4. Hardcover catculation worksheets if in shoreland disUid <br /> 5. Erosion cor�trol !an or co of MCWD Erosion Corrtrol Permit <br /> �t upaaced: ��y,20�0 <br />