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APPLICANT/OWNER ACKNOWLEDGEMENT: <br />� � Appiicant/Owner agrees to provide ail information required or requested by the Planning Departrnent; <br /> • Owner agrees to pay the City of Orono for en9ineering cansultant review c�ts where applicable; <br /> • ApplicanUOwner certifies that the information supplied is true and conect to the best of his/her knrnnrtedge. The <br /> applicant►�ecogn¢es that they are solely responsible fo�submitting a camplete application being aware that upon failure <br /> to do so,the stafF has no altemative but to reject it until it is complete; <br /> • Appficant acknowledges the attached Escrow Agreement is completed and signed by Owner, <br /> • Applicant/Owner understands their project may require an initia!and as-built survey per City Code Section 86-68. <br /> • Some or all of the informffiion that you are asked to provide on this application is classified by State law as either <br /> private or oonfidential. 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 infarmation which generally cannot be given to either the public or the subject <br /> of the data. Our purpose and intended use of this infortnaiion is to annually update our records and records of other <br /> ovemmental a encies r uired law. If ou refuse to su the information, the a lication ma not be issued. <br /> The undersigned certirt�fyy that the information supplied is true and correct to the best of their knowledge. <br /> Applicant's Signature: Date: ,6/Z 3/ZOj� <br /> � <br /> Property Owner's Signature: Date: k;��3��0�� <br /> 7—� <br /> TYPE OF PERMIT• SUBMISSION REQUIREMENTS: Except for tree removal permits, all permits <br /> require a compteted application form,e�row agreemeM(signed by the property <br /> owner}and escrow check from owner,iwo copies of all plans, and three copies <br /> of ali grading plans or surveyslsite plans <br /> Dock,Residential Seasonal Dodc-�survey stiowing proposed dock <br /> PeRnanent Dock–plans as approved by CUP and copy of LMCD pennit(if applicable) <br /> Dock,Commer+clal 1. Structural plans for the dock <br /> 2. Survey showing the proposed location of the dock <br /> 3. Copy of LMCD permit <br /> Hardcover Permit 1. A11 Minor or Major Land Alteration Permit requirements apply as appropriate <br /> 2. Hardcover calcula6ons,existing and proposed <br /> 3. Plans <br /> Land Akeration,Major 1. Plans as approved by Conditional Use Permit <br /> 2. Erosion control plan or copy of MCWD Erosion Control Permit <br /> Lartd Alteration,Mino� 1. Survey/grading plan including exis6ng 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 tess than 501 cu.yds 3. Amount of earth to be moved around on site <br /> elsewhere.) 4. Erosion control plan or c�py of MCVVD 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 ex'isting and proposed contours <br /> 3. Hardcover calculation worksheets if in shoreland district <br /> 4. Erosion control lan or of MCWD Erosion Control Pennit <br /> Stairway to Lake 1. Construction plans for stairvvay, including footings <br /> 2. Topographical survey of property witti proposed stairs shown <br /> 3. Erosion control pian or copy of MCWD Erosion Control Permit <br /> Structure Permit 1. Construction plans_ <br /> 2. Survey of property with proposed structure shown and with setbadcs to property <br /> lines,other structures on property and the septic system indicated.The general <br /> location of any sev�r and water services should be shrnm if applicable. <br /> 3. Grading plan if grading is proposed. <br /> 4_ Hardcover calculation worksheets <br /> 5. Erosion control lan or of MCWD Erosion Control Permit <br /> Tnee Removal Call: 952-249-4600 to schedule a singie tree removal inspedion. A re-planting plaN <br /> ma ment an r irerJ fcx clear cxrttin ,buGcthom or other intensive v tation removal. <br /> updated: Nov�nber 30,2072 <br />