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APPLICANT/OWNER ACKNOWLEDGEMENT: <br /> • Applicant/Owner agrees to provide all information required or requested by the Planning Department; <br /> • Owner agrees to pay the City of Orono for engineering consultant review costs where applicable; <br /> • Applicant/Owner 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, the staff has no alternative but to reject it until it is complete; <br /> • Applicant acknowledges the attached Escrow Agreement is completed and signed by Owner; <br /> • Applicant/Owner 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 /> subject of the data. Confidential data is information which generally cannot be given to either the public or the subject <br /> of the data. Our purpose and intended use of this information is to annually update our records and records of other <br /> governmental a encies required b 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 /> ApplicanYs Signature: � '" )`�� Date: �I�' )Z <br /> Property Owner's Signature: Date: <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 /> Dock, Residential Seasonal Dock—survey showing proposed dock <br /> Permanent Dock- plans as approved by CUP and copy of LMCD permit <br /> l7ock, Commercial 1. Structural plans for the dock <br /> 2. Survey showing the proposed location of the dock <br /> 3. Copy of LMCD permit <br /> Driveway Permit 1. All Minor or Major Land Alteration Permit requirements <br /> 2. Hardcover calculations, existing and proposed <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 /> (Less than 10 cu.yds. within 75' of 2. Amount of fill to be imported and/or exported and haul route <br /> lake or less than 501 cu.yds 3. Amount of earth to be moved 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 /> 4. Erosion control lan or co of MCWD Erosion Control Permit <br /> Stairway to Lake 1. Construction plans for 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 /> lines, other structures on property and the septic system indicated. The general <br /> location 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 Removal Call: 952-249-4600 to schedule a single tree removal inspection. A re-planting plan/ <br /> mana ement plan required for clear cuttin , buckthorn or other intensive ve etation removal. <br /> Updated: April 23, 2012 <br />