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09/22/2016 09:26 9524471585 CUB FOODS SAVAGE MN PAGE 02/02 <br /> Y . � <br /> ARPLICANTIOWN�R ACKNOWLEDG�AAENT: � <br /> • APP��Carrt/�wner agrees to providB all lntnrmatlon required or requqst�ed by the Plann'u�g.�epartment� <br /> • Owner agreas to pay the Citjr of Orona for engineering�onsultant revlew costs where applicable; <br /> • Appticant/Owner certifi�s that fhe information supplied�s true and�orrect te ths beat of hisTher knowledge, The appifcant recagnizes <br /> that they are splsly responsfble fi�r submftting a complete appfication b�ing aware that upon failure to do so, the staff has no <br /> alternative but to reJe�ct it until it is Cbmpleta; <br /> • AppliCant�dknowleBges the attached Escrow qgreement is oompleted and signed hy Owner; <br /> • ApplicantlOwner understands tha(r project may require an Initia!andlor as-buiff survey per City Cdde Section 86-68, <br /> • Some or ali of t}�,g fnfortna�On that you ar�e askad to provide on this appllcstion la classlfied by St�te law as eld�er privat� or <br /> confldentlal. Prlvate data;s infermation which gene►alry cannot be given to the public but Gan be given to the subJ�Ct of the data. <br /> Confldential d�ta Is Informatlon which gener�Ily cennot be given to either the public or the subject of the data, pur putpOSe and <br /> Intended use of this informatlon is ta snnually update our records and records of other gov�rnrnental agencies requfr�d by law, tf <br /> ou refuse to su ! the;nforrnatlpn the a IiaaUon ma not be issued. <br /> The undersigned cer#ify thet the in rmatl s p'ed is true and correct ta tfie best of their knowledge. <br /> Applicant's Signature: 9��� �! <br /> Date: <br /> Property Owner's Signature: � Date: <br /> �'�OF PER T: s��«�° R�REMENTS• �xcept for tree removal pe�rnfts, a�� permlts ,�qulre a complet�d <br /> — -��� appllcation fnCm, escrow agreement($igned by the property p,�rnerj and escraw check from ownsr, <br /> two cppies of each,w8ere appticable,plane,landscape plan�,gr$ding pians,surveym or site plans. <br /> Dock,Cqrylf17e1�cia) 4_ Shucturel piansforthedock <br /> 2. 5urvsy/siYe plan shoyvfng the proposed Iocatlp�of the dOdc <br /> • 3. Copy of LMCp permlt <br /> Dock,Ftesidential Season8l pock-survey showing proppsed dock <br /> Permgnerit Deyc—plans es aPproved b CUP 9nd cpP of LMCp It ¢appllcabie) <br /> H�rdcover Permit 1, AII Minor nr 1VIaJor Lar1d AReration Pe�mit . pp y ppr�ppriate <br /> 2- Harcloover calculations�e�Qs6r1g and prop��rements a I as a pp <br /> 3. Survey <br /> Land AlteCdtion,Major 1. Surveylgrdding plan inGuding e�tisUng and proposeq corrtouts as approved by Conditional Use Permk <br /> 2. �rosion contro{plan. <br /> 3. A copy of►vtinnehaha Creek Waisrshed Dlstrtct(MCWD)permits or documentatlon fmm the MCWD staUc�g tha <br /> proposed proJeat does no!trtgger any of thelr permitt{ng requirements. PledBe note,the City wlfl not issue a <br /> bui{dln ermlt without Infolmation frqm the MGVW. <br /> Land AfteratiOn,Mi11Cr 1. Sunrey/grading plarl inGuding ebsdng pnd proposed cnntours <br /> 2. Amount of fitl fo be Imparted and/or axportatl 2nd hsul route <br /> 3. Anlaunt af @.prth to b�moved around on slte <br /> 4. Ernsion control plen. <br /> 5. A copy of Mlnnahaha Creak W�tershed pistrfct(ArtCyyp)pe,n,its or documentaUpty irom thg MCWp sta6ng the <br /> prUposed Aroject dqes not trlg�gr any of tbeir pertnitting requfrements. PEeasa nota,the Cfty will rtot lsaue a <br /> budldtn er�mli yvithout fnfprrltaHon frpm the MCWn. <br /> Retaiplltg Wal{ 1. Plans f�rwall(s) <br /> 2. llnlass repaar or exact replacement of existing waU,submit an updateq survey with gradfng plan InGUding exfsting ahd <br /> proposed cbntours <br /> 3. hlardCpv�t calcWallbn wark5heets if In 6horefand district <br /> 4, Eros�on control plan <br /> 5. A copy of Mlnnehsh�Creek WaEershed Dlstrlct(MCtNp)permi�or doc�ur�erttation from the AACWp stating the <br /> proAosed project does not trigger�ny of their permlttlng requlremen�. Pisa�e note,the CFty wilt not lssus a <br /> buildln rmlt wlthout Iniermatton from the N1CWD. <br /> Stairway ar Liftg to 1. Coristruction plans fer sta�rv„ay or Uf4 includiny tootinge <br /> Lak� 2. Topographlcat aurvey of property wlVt proposed st�i�or Itft Shown <br /> 3. Eroslon oontrol plan <br /> 4- A copy of Mfnnehaha Cr�ic Watershed DieL1ct(NiCWp)peirm��s or documentadorl from thp MCWD Siating the <br /> proposed projeat does not trigger any ot thefr permilting requirements. Please nota,the City w;11 not issua a <br /> bulldin rmlt without Informetion from the MCWD. <br /> Structure Parmft i. ConsVudion pfans. <br /> 2, Suroey/9ite pldn of property wlth proppSed sbucture shown and with setbacks ta prope�iy lines,other sbuctures on <br /> property and the sepUC System fJldicsted_The yenardl locatlon of any sewer snd wat�r aervlces should be shown if <br /> applicabla, <br /> 3. Greding pten if grading is proposad. <br /> 4. Hatdcover�alcuiatipn workshaete <br /> 5. Erosion oontrol plan. <br /> 8, A copy of Minnehaha Craek Watershed District(MC1Np)penp�ts or documenhaUon from tha MCWD statin9 the <br /> proposea pmjeci doe¢not trigger any of thair permltting�equfremanfs. Please noto,the Cily will not Issuo a <br /> bulldln �rmlt withou!fnform�allon from!he MCWb. <br /> Tree Removal Call: 952-249-4600 to sch6dule an I�spec;fion for relnova!of&n indivfduaf t�e(s)_ A re-plantir�g plan!erosian controf/ <br /> mana ement lan me be re uired for dear cutpn ,budcthorn or oiher Intensive etation removal. <br /> Updated: kNey 2b1b <br />