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AI'PE.ICANTiOWNER ACKNOWLED�3EMENT:
<br /> {�• ApplicanVOwner agrees to provide aEl inMrmatio�requ{red or requested by the Planning Oepartmerrt,
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<br /> i • �wr►er a9rees to pay the City of Orona for�ngineering consultaM review c�b where eppl�cabte;
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<br /> � • �Rp��nVUwner ceRifies that the information suppiied is true and correct to the besi of his�A�►er knawiedge. The BppEIC�t
<br /> ttiat they are solely responsibie fo�submitti a oom lete a lication bei aware thai u f�� �:���
<br /> ^9 P PP �9 pon failure bo do so,the.s�f(t�r�o�W�
<br /> but to reject it until it is comp�ete; � , ,�,,�
<br /> �'� ��`
<br /> • Applicant acknowledges the attached Escrow Agreement is oompieted and signed by Ow�er; � �-�' �� ��`�„
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<br /> • AppticantlOwner understands thefr project may requlne an Initial and/a�as-built survey ppr Clty Gpde gpC�pR g�������a ���'�,-;p
<br /> � . �� ..� � =w������ '� '�
<br /> Some or aA�f the informatian that you are asked to provide on this applicatian is cl�ssified by State taw as elU�r�� '�`� � ��� ���
<br /> Pnvate data is information wh�h generally cannot be given to the pubHc but can be given to the subjeq.of the de�8�;� ' '� - ���
<br /> > FR ;� . �p� ;,���':
<br /> i is information which generaily cannot be given to either the public or the subjed of the data. Our pu�se,�d �� >;
<br /> � information is to annualty update ouf records and records of other govemmental agenGes required by taw. If you.r���p� � ��r '
<br /> '- information the a lication ma not be issued. �,�.�, z� �,� ��s �:
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<br /> The undersigned certify that the information supplied is e and correct to the best of their lchowted�e ` ,�� �� �. ���
<br /> Applicant's Signature: �pa�. ;'r�-'�a `_�`�� � ��_��
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<br /> Property Owner's Signature: �� � D��: '- �� ' n ��` ������. '
<br /> x ,;���t��.�#�r�s„�ir����>.� x� �-�.
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<br /> � SUBM13S10N REQUIREMENTS• Except for tree removai permits, all pe� rsq��'"�
<br /> � TYPE OF PERMIT: �x,: , ,; ����
<br /> appifcation fomt,escrow agreemeM(signed by the property'owner��nd�w k
<br /> � coptes of each.where applicable�plans,landscaps plans,grading piat�a;�i�ryq��' �`""� ��
<br /> � Oock,Commercia) 1. Stn�ctural plans for the dodc � �,�' ;° ,�r� �,. �"�. � ��
<br /> , 2. Survey/site p�an showing the�ot�osed loeation of the dock� � ' ,��„sx�: ����
<br /> 3. Copy of LMCD pemvt ���,
<br /> Dock,Residential 5easonai Dodc-sunrey showing proposed dodr ,� ��
<br /> Pennanent Dodc- ians as a roved b CUP and co �.of IAACG►� IC if,8" ° ia i�,�' �
<br /> � Hardcover Permlt 7. All Minor or M�jor Land Altersdon Pertnit requirements apply as appropda#e � ��,�� , ` W�
<br /> ( 2. Ha�rlcover calculatlons,exis�ng and proposed r� '��,���� � �
<br /> � 3. Survey � � ; � �x ,�� �
<br /> �and Atferation,Major 1. SurveyJgrading pian including existing and propnsed conbo�s as a�roved 6y Ctixu�i�One�L'l�B� � ' : ���'
<br /> � 2. E�osion control ptan. � _ < � ��� , . �`-
<br /> ( 3. A capy of Minrtehaha Creek Watershed DistriCt(MCWD)permits or docum�►taEiqn�ir.q�'p �� x � '�;�;
<br /> ( Prop�ed ProJed does not trig�r any of their permitting tequine�nents. Pleave r�p,tt��,�, X
<br /> � buildin rtnit with�t informstton from the MCW0. ``�'� 3�„ t -'��
<br /> Land Alteration,Minor 1. Survey/grading plan inGuding e�dstlng artd proposed oontours ,r �z�� �'��"
<br /> � 2. Amount M flli to be imported ar�/or export�i arid haui route � �"�� � �"`� ��� � ��"
<br /> �� 3. Amaunt af earth to be mov6d around on�site � ��� � "� � '`��� ���� �
<br /> 4. Erosion oontrol plan. . ` � ��� �,� �. ��t ��
<br /> � 5. A copy of Minnehaha Creek Watetshed District(MCWD)permds or ��
<br /> prop�ed project does rwt tngge�arry of their:p�milth�requirema�s�a�� �- ' �`�
<br /> buildin ermit without Informadon Trom�MC�IYD.�, �- � �'� � ��.' ��, �� � �
<br /> � RetainingWali 1. Pia�forareit{s) � �� �� ' � � =.� ��� �� �
<br /> 2. Uniess repair ar exact repiaoeme�of exi�ting waN,�n�an uptl�ed � ` �-
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<br /> i proppsed mntours � ���,�.����`' ��,,,� '`�� 2��-
<br /> 3. Haidcaver calcaulaGon wo�lcsheets if in shoreland d1sMCt ; �,���,�„,�� ��,�,����"fir NY " ���'�; �.;
<br /> 4. EtOSi�1 ODntrol plan �� �'�. <. ` ,.t��p� ,�'� �s��� ,��'"
<br /> 5. A copy of Minnet�ha Creek�Watershed-�(MCWD�petmlt��i1' • � �� ����'
<br /> ProPosed project does rrot trf�er any af�heir�t���tg��mer�s� � �;
<br /> 3 � at�Y � � ' =� � :
<br /> bwiidin it withait iMo�r►atiort fcortl�e � f� � � � �� � �� _
<br /> a , �
<br /> 5tairway or Lifts to 1. Construction plans for stairvwdy orlift, , in�j#o�tinps '� '�� � � �'�� � � ���`��
<br /> � � �
<br /> i Lake 2. Topograptdcal survey uf properly With propo�l s�1n9 otAi�shp��x5 �����-; '���'.����y � ' ��
<br /> � 3. Erasion oorrtrol�an��� `. ` : � � .������,� � t.�
<br /> i a. A cop�+of ntinnenana c,neek wa�ersna�t��ict tA+1G�N��:p�aa� �� �� ��
<br /> Proposed Projed does not b�ger sr�Y�f 1h�,�e(�#�I�� � �
<br /> bulldin rmit without informa�lon��tia.Y ;`i � `",.
<br /> �,�_ .�s�s� �'�s�,�
<br /> StructurePermit 1. Cor�vuctlonpians. � ', , " x �' � �
<br /> 2. Survey/site plar+af property w1t1t proposed sf�ut�a'� �� � � ��d '
<br /> propQrty and the septic system-�rt�licated:"Tk�g9ir�F���a��.o�'""� ' �
<br /> appllCBWt. � �� ��`�"��`� �.-,'° � �t ;c. �
<br /> � 3. Grad+ng p�n if�adir�g is prop08�a�f ' � ^� � ,�
<br /> - � ' � ������ ��',�`����� �'� ���'� � �
<br /> 4. Hardcover ca�ion�roric� �� ������, � �.�� ��� ;
<br /> 5. Er�ion cflntrol piait. ��� ' ;
<br /> r �, � � �
<br /> 6. A o�y a�M�ne�Creek 1N�d��f��1 fil�� � �� � ;
<br /> P�P�����_',�. �,��, ;.,� r� �
<br /> Tree Remov�! Ca�: 952 249-�Ot��o�ed!�e,��, ,��� � � ,.;
<br /> m� '� �`�t' s ^ ��. t s-�� �r�I�A 1,. � ��
<br /> � �.a�y ��fv � qs�S' x�'s' �'" ��'� 4t.
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<br /> Updaied. Jarwary 2017 Y����a-����. o, � ,.
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<br /> � �:i .? �'v� K��h�-p� �� � :^'°�v�'� �'V� I
<br /> - . . . .iF'_. .-+... , a,.�, a�.�w.�u.r s� ,^�f3t�r'�'.,,.�'�� _ � . . .
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