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APPLICANT/OWNER ACKNOWLEDGEMENT: <br /> • Agrees to provide all information required or requested by the Planning Department; <br /> • Owner agrees to pay the City of Orono for engineering consultant�view costs wher+e applicable; <br /> • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant <br /> recognizes that they are solely responsible for submitting a complete application being aware that upon failure to <br /> do so,the staff has no altemative but to reject it until it is complete; <br /> • Acknowledges the attached Escrow Agreement is completed and signed by Owner, <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 <br /> the subject of the data. Confidential data is infoRnation which generally cannot be given to either the public or the <br /> subject of the data. Our purpose and intended use of this information is to annually update our records and�ecords <br /> of other govemmental agencies required by law. If you refuse to supply the informaUon, the application may not be <br /> issued. <br /> The undersigned certify that the information supplied is true and correct to the best of their knowledge. <br /> Applicant's Signature: �Ar Date: g�I f�I 2O I� <br /> Property Owner's Signature: V Date: �����Z° �� <br /> TYPE OF PERMIT: SUBMISSION REQUIREMENTS: <br /> Except for tree removal permits,all permits requir+e a completed application <br /> fortn,escrow agreement(signed by the property owner)and escrow check <br /> from owner,two copies of all plans,and three copi�of all grading plans or <br /> surveys/site plans <br /> Residential Dock Seasonal Dock�urvey showing proposed dock <br /> Permanent Dodc-plans as approved by CUP and copy of LMCD permit <br /> Commercial Dock 1. Structural plans for the dock <br /> 2. Survey showing the proposed location of the dock <br /> 3. Copy of LMCD permit <br /> Minor Land Alteration 1. Grading plan including existing and proposed contours <br /> (Less than 10 cu.yds.within 75'of lake 2, Amount of fill to be imported and/or exported and haul route <br /> or less than 501 cu.yds elsewhere.) 3. Amount of earth to be moved around on site <br /> 4. Erosion control plan or copy of MCWD Erosion Control Permit <br /> Major Land Alteration 1. Plans as approved by Conditional Use Permit <br /> 2. Erosion control plan or copy of MCWD Erosion Control Permit <br /> Stairway to Lake 1. Construction plans for stairway <br /> 2. Topographical suniey of property with proposed stairs drawn in. <br /> 3. 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,grading plan including <br /> existing and proposed contours <br /> 3. Hardcover calcula6on worksheets if in shoreland district <br /> 4. Erosion control plan or copy of MCWD Erosion Control Permit <br /> Tres Removal Call 952-249-4600 to schedule inspection. <br /> Structure Permit 1. Plans for structure. <br /> 2. Survey of property with p�oposed structure drawn in and with seffiacks to <br /> property lines, other structures on property and the septic system indicated <br /> .The general location of any sewer and water services should be shown if <br /> 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 /> t_ast updated: Juy,2010 <br />