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' AUGI�-19Cy-���3 10�1� PIP�R JR�FRHY ❑ �j <br /> AP����.n��A����1�C'�/��.AA11'rW�rr�rr�.....�.-- f�W�� <br /> . l�pplican4/Owner agre�s t� pravide all i�tfr�rmeCion requined ar r8�qu�si�l by the P�ar�ning Department; <br /> � t�Nmer agre+��pay the��af Orono for e�r�gGn��ering cansul�n'k��►��rnr cvsts wh���pplic,�ble; <br /> . ,A,�cplicant/Oumer certifr�s that tho Infcrm��ion suppl1ed i� trwe �ttd carreet te t�he pe54 of his/her k,na�dge. Th� <br /> applFraant r��ognizes that l��y�svlefy re�p�on�ibl�fdr submitting�car�plete appllcatlon b�in�aware that up�tt fa�4wr�e <br /> to do so, the si�Ff h��no aftemat9ve bu�ko reje�t it ur+�i� k�is ccamRl�te; <br /> • ApPGcant aekrlawle�ges tt+e at�aah�d �scrow Agre�2mm�t 15 cvrnpl2ted and Si�n�d by Owrtef; <br /> . Applir.�r�tlOwner unders�+a�lds their project may'P�quire�n initial and e��-burit Sun,ey per City�C�acte Secfion 66-68, ; <br /> . �crm� ar aU of ttre inbrmation th�k y�u are asked to prrwide on khis appiieat�an is cfassifled ay Sk� aaw as eP�h� <br /> privato pr�onfidenf9al. Priv�s dat8 is infoRn�tic+n wllich generglly c�nno# be glven t��Nre public bu#can be gi���n to <br /> �Wbze�t af tS�e clata, Conl�deritlal dab �s i�rma�lan whiet� g�n�ral�► can na��� 9i��n tv either the puE�li+�vr the subje�t <br /> � of tf�� dat�. Our purpo�e �nd irrtended use of#11is inK►rrnation is tG e�nnu�ally update our��ar�l� and reco�ds ofi otkiar <br /> I Qvernmo t�l� �n ies re u�red p 1�r. If u re�Use ta s�� f tY,e informatian th�+� Iica�om m ���+������. <br /> The und�rsignad ce�tPly tf�aT'al�i�t�fm ion supp�i �true and correct t,o�h�best di their knowledg�, <br /> �? <br /> Appl�ca�+t's�Si�gnature: �,�� .+ �. <br /> � <br /> ,:� � ( � 1� : <br /> Prap+�r�y owne�s Signatur�. ���� � <br /> S�BM�SSI�1N RE U[R�11� ��" �ccePf for tree romcvaa permits. slt pc�'ml�t� <br /> T�"�+�Q�P�ERMI7: r�uir'+A a otimp��k�t!�pp�i�tYon form,as�Cf'�'�N+��m�nt(signe�l by kf�P prop�ty <br /> ownec� a��+d �crow check fram own�rM two caples af aA plar�s, and thr+ae copii�s <br /> �af all grading Plan�n�surveyslslte platts <br /> I��ck, Residen�ial S�aso�al fJr��k—9uNey show�ng praposed do�lc ' <br /> Perrnanent Dock�pl�ns as approved by CUP a�d capy of LMCD permit(if applicad��) <br /> pock,Camm�r��a! 1, Structwral plans fc�r t��daek <br /> 2, 9urvey shaMt��n9���P�P�sed location af the dock ; <br /> 3. Ccpy�f 4.MCD permlt ; � <br /> Hr�rdcover Pa�m�t �. All Minor or M�or L.�n�f�i�r�ti�n Permit requiremen�s apply as appraprS�t� <br /> 2. H�rdcaver calculations, exis4il19 a�nd propa�d <br /> 3. Pl�t��. � <br /> L.�nd Alteratlon,Ma�a� �. Plane as approv�d by CdndiCiorlal Use Permit , , <br /> 2, ECbsi�l� contrtzl p�an or copy aS'MCW�! �1�sip�1 Gonttal Permit <br /> Land Alt+era on, MAna* 1. Surveylgrading�I�n iriCludiriq ea��ting and proposed conlnur� <br /> ��,es,s t�aC+ 10 cu.yds.w�thin 75' of �, A�ntouni af fill to be impar�ed and/�r a�sported and h�ul rowte , <br /> IekA or i�s� Chan �01 cu.yds �. �os on ca 2rohp e no copy of MCWp Era9ian Co►�� Permit ' <br /> e{sewt►ere.) <br /> ������,�y��� 1. Plan�far vv�ll(a) <br /> "�, Unless repair or axact r�eplacemel�t of exls�ng v�+�ll, �ubmit an updated survey VvVti'� <br /> grading plan inaludin9�Xi�Cil�g and prapased rvrrtc�urs <br /> 1. Mqf d�ver c.glc.wlatio�wor.ksheets I'P fn shorelt�nd di�tTi�, <br /> 4. Erasian r.o��ktaf lan ar�a o4 MCWD ErosiQn Control perm�t <br /> gta�rw�y ta Lak� 1, ConstrucYion plans far stalrway, including 1'�o�in�� � <br /> �, "�opagr��h1ca1 survey of property�kh propdsed stafrs �I�a� <br /> 3. Erosian ccnRrol �lan of aap�►t�t MG�Na Erosion Corrtrol P�rmit <br /> Structure Penn� 1, Constructiv�P#ans. <br /> 2. Sunrmy a�`pr�p�l'�+v�+im prvposad sVucture shown and u✓th�etbacic�ta prop�rty <br /> Ifnes,ather stru�tcrras on pr�pQrtjr altG tt�+e septic$Ygten'indicaEed.The genersl <br /> Is�r.aCion of any seurer and water seiV�ceS eh4ulp b�sha�++n if appficahle, . <br /> 9. (�rad9ng Pl�n if 9����ng is proposed. <br /> q�, H�rdrover calculatierl inrarksll►��� <br /> 6 �rvslvn cvntr'ol Ir�n ar co af M�WD �tosf0 Cbnkfo)P�t'►1�tiC <br /> Tfee R�1O'V211 C211: 952-249-d800 to�c2'�qduf��I Sif�g{Q ta�fe�"noval ins{�cctlon. R r�planting p12�1! <br /> rti na e�+t'i�rrc an re uired for�1ear a�ttin .budrlhem or athef iri'ken "v� eta'on remav�. <br /> Updated: Nm�rnber 30.2Q12 ' <br /> a <br /> 7'OTRL P.03 <br />