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APPLICANT/OWNER ACKNOWLEDGEMENT: <br /> �—ApplicanUOwner agrees to provide all information required or requested by the Planning Department; <br /> � . Owner agrees to pay the City of Orono for engineering consuMant review costs where applicable; <br /> . ApplicanUOwner certifies that the information supplied is true and correct to the best of his/her knowledge. The applipnt recognizes <br /> that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no <br /> altemative but to reject it until it is complete; <br /> . Applicant acknowledges the attached Escrow Ag�eement is completed and signed by Owner; <br /> • ApplicanUOwner understands thefr 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 dassified by State law as either private or <br /> confidential. Private data is information which generally cannot be given to the public but can be given to the subjed of the data. <br /> Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and <br /> intended use of this information is to annually update our records and records of other govemmental agencies required by law. If <br /> ou refuse to su I the informafion the a lication ma not be issued. <br /> The undersigned certify that the in!��n su lied is true nd correct to the best of their knowledge. <br /> Applicant's Sfgnature: Date: 5- ! � 2�lS" <br />� Property Owner's Signature: � ` .�-� Date:� S -3 �U�S <br /> SUBMI ION REQUIREMENTS: Except for tree removal permits, all permits require a completed <br /> TYPE OF PERMIT: applicadon fortn, escrow agreement(signed by the property rnmer) and escrow check from owner, <br /> two copies of all plans,and three copies of all grading plans or surveys/site plans <br /> Dock,Commercial �. Structurai plans for the dock <br /> 2. Survey showing the proposed location of the dock <br /> 3. Copy of LMCD permit <br /> DoCk,Residelltlal Seasonal Dodc—survey showing proposed dock <br /> Pemtanent Dock— lans as a roved b CUP and co of LMCD rmit(if a licable <br /> HardCOver Pern11t 1. All Minor or Major Land Atteration Permtt requirements appty as appropriate <br /> 2. Hardcover calculations,existing and proposed <br /> 3. Survey <br /> Land Alteration,Majo� 1. Surveylgrading plan including existing and proposed contours as approved by Conditional Use Permit <br /> 2. Erosion control plan. <br /> 3. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the <br /> proposed project does not Vigger any of their permitting requirements. Please note,the City wlll not Issue a <br /> buildin ermit wtthout informatlon from the MCWD. <br /> Land Alter'ation,Minor 1. Surveylgrading plan including existing and proposed contours <br /> (Less than 10 Cu.yds. 2_ Amount of fill to be imported andlor exported and haul route <br /> within 75'of lake or less 3. Amount of earth to be moved around on site <br /> than 501 Cu.ydS 4. Erosion control plan. <br /> elsewhere. 5. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the <br /> � proposed project does not trigger any of their permitting requirements. Please note,the City will not Issue a <br /> buildln rtnit without iMormation from the MCWD. <br /> Ret2lining Wall 1. Plans for wall(s) <br /> 2. Unless repair or exact replacement of existing wall,submit an updated survey with grading plan inGuding existing and <br /> proposed contours <br /> 3. HardCover calculation worksheets if in shoreland distriCt <br /> 4. Erosion control plan <br /> 5. A copy of Minnehaha Creek Watershed DisUict(MCWD)permits or documentalion from the MCWD stating the <br /> proposed project does not trigger any of their pertnitting requirements. Please note,the City wlll not issue a <br /> buildin rmit without Information from the MCWD. <br /> St71nN8y O�Lifts to 1. ConsVuction plans for stairway or lift,inGuding footings <br /> Lake 2. Topographical survey of property with proposed stairs or lifl shown <br /> 3. Erosion control plan <br /> 4. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD sta6ng the <br /> proposed project does not trigger ariy of their permittfng requirements. Please note,the City will not Isaue a <br /> bulldin it wfthout Infortnatlon from the MCWD. <br /> StrUCture Pemlit 1. Construction plans. <br /> 2. Survey of property with proposed structure shown and with setbacks to properiy lines,oiher strudures on property <br /> and the septic system indicated.The general IoqGon of any sewer and water services should be shovm if appucabte. <br /> 3. Grading plan if grading is proposed. <br /> 4. Hardcover calculation worksheets <br /> 5. Erosion control plan. <br /> 6. A copy of Minnehaha Creek Watershed District(MCWD)permits or documentation from the MCWD stating the <br /> proposed project dces not trigger any of their permitting requiremeMs_ Please note,the City will not(ssue a <br /> bulldln rtnit without informatlon from the MCWD. <br /> Tree Removal Call: 952-2d9-d600 to schmdule a single tres rsmoval inspeetion. A re-planting plaN erosion control!management plan <br /> re uired for clear cuttin buckthom or other intensive ve etation removal. <br /> Updated: January 2015 <br />