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1�PPLICANTIOWNER ACKNOWLEDGEAAEMT: <br /> . Applica C3u�^+ee agr�es to provYde ell information r�uired or requeste+d by the Planni�Departrne�; <br /> . Owner agre�to�y the Clty of Orono far engl�eering cansultant r�vte�ar c�ts where appllc.abte; <br /> • AppAcartit/Owner c�tlNes that tlle InFortnetlan supplled 1s true and c�mect to the best af h�/her knov�edge. The applicent recognizes <br /> that they are solely �nsble for submitting a cmnplate applic�tion being awar�that upon feilure to do �, the steff hes no <br /> a{temattve but to reJect it unUl it is camplete; <br /> • Applic�nt admomAedges the a#�ached E�raw Agr�ment is�mpleted and sigr�by OHmar, <br /> � /�pplicantJOwner understands thetr proJ�:E may requlrr�an lnitlal and a�s-buil#survey per City C�le Secdon 86�. <br /> • Some ar all af the Informstlon titat you are �iced to provide on this appllcat�an ts dassifl� by State �w as el�er priv�te or <br /> canfider�tial. Prtvate dat� Is h�fartnatlon vNhich g�neially canrrot be glven to t�h�pu�i�but can be given�o the subject of the data. <br /> Confld�tlal da#a Is infom�atlon afiich gener�lly cannot be gi�ren to ei�er the pu�ic�ftre s�bjed of the data. Our purpo�antl <br /> intended use of this it�formatlon Is ta annualfy update our recaras and�s of oth�govemmer�il agernd�requir� by lavy. If <br /> u refuse to� the iM+armstlan the a Ifca�tlom m �ot be i�. <br /> The under�igned cxrtify that the i ation is true nd con�t to the best af their krrov����i/ I <br /> ApplicanE's Signaturet Date: S �( � <br /> Property Qwner's Signature: Date: � <br /> SUBMISSIt3N RE�IJIREMENTS: F�ccept for tr+ee r+emovel Rerm�s, al! permlts requtr+e a c�mpl�ed <br /> 7YPE OF PERMIT: ���� ���p�����(sigr� by tl�e praperty o�nmar�and escr�nr check from own�r, <br /> tvvo coples of all plans,and three copi�of all grading ptar�s or sunreys/sit�plans <br /> Dock�Commerclat 1. Stru�plar�br the aoctc <br /> 2. Stwsy show�tg the ptopased lacatlon of tl�e dodc <br /> 3. Copq of LMGD p�mlt <br /> Doek�Resldentlal Seasar�l D�Ic-s�av�sy shavuin9 P�� <br /> Pemtar►�t Qock- ar�s as CUP and co of LAACQ it a ble <br /> Ha1'+dCovBr PePmtt 1. �1A NAtmr or AAajor Land I�Jteratl�Permit requir�nents appiy as ap�uvprlate <br /> 2. Hardcaver c�ldilatlans,e�SUt►9 a►►d ProPosed <br /> 3. Survey <br /> Land Alteratlon,Ma�ar 1. Survay/gradir�g plan�c3udh�g�dstlrig ar�d prop�ed�ontaurs�a�roved by Cand�ior�al U:�Permit <br /> 2. Era�on control p�n. <br /> 3. A cnpy of Minnehaha Cresk Watershed Dlstric�(►lACWD)Pe�mlis ar doaunentation ftarn the MCWD�ttng fhe <br /> p�Pa�l�lect do�rmt Mgger any of thNr permltting require�ner�s. Ple�e rwte�the City wlll not i�re a <br /> bulidln rmlt wi�out Iniormatlon from tFaa AACWD. <br /> Land Al�ratlon�11�[nor 9. Siavsylgreding plan Irtduding e�dstlrtg�d propased�ntaurs <br /> (tess tn�n�o cu.yds. 2. Amo�,c o�fln�o ne�n���ex�o►t�d�d rr�ui ro�te <br /> vukttln 75'of lake or less 3. Amount of earth to be mo+r�around on slte <br /> then 5D1 cu.yds 4. Erosian csonh�of plan. <br /> �sewhere.) s. S c�opy of tU�nnehatm Creek Watersh�t Dlstnict(bICIIVD)permits or da�nentaUon fi+a�n the NiCWD sta8ng the <br /> P�ProJet�doe.a rmt idg,g�any of Weir pe�mittlrx,�re�Wr+emerrts. Please�tfre City wil!not Issue a <br /> buNd permit w�thaut iMorm�ion from tlte BACWQ. <br /> R�Ining Wall 1. Plans for vuaN(s) <br /> 2. Unless repsir or e�c�replac�m�nf of ex�11�wall,submit an uP���Y�9�9 P�ir�duding e�dsUng aatd <br /> P�� <br /> 3. Hardcover c�lailatlon v�aorlcsheeis 1�In shoreland d� <br /> 4. Erosion�ntrol plan <br /> 5. A c�opy of M�nneriat�creelc watershed ahstrlr.t{MCUVD)t�rmms or d�nn�#atfor,trom the no�dlm sfaeng the <br /> P�P�ed prolect do�s not tr1gg�anyl af iheir Permitqn9 rsequ��r►errts. Piease note,the t�ty wW nat Issue a <br /> bulld It avitF�out Informadon'F�m the MCWD. <br /> Statrwziy or Lifl,s to 1. Cor�b�udion plar�t+�sial�y or Iift,ir�ltt�footlr� <br /> Lake 2. Tapographic�l survey of property with pro�d s�lrs or Itft showm <br /> 3. Er�ian conti'ol plan <br /> 4. A r.opy of NDnn�►at�Cresk Wate►sh�Dishid(MCdVD)µermils w do�m�tattvn iran t�e MCdUD staUng the <br /> proposed pro}ect does rrot lrtgger ar�r of thelr p�mlttlrtg r�qu�rnerris. Please�rote,q»City will not Issue a <br /> build rmtt without IMarma#Ion[rom the BAC�ItD. <br /> Strucbure Permlt 1. Car�truchon plaru. <br /> 2. Survey of properly arith propos�stru�tte shaum and with setbaacs to property Iin�.other shac�ures on prop�ty <br /> and the sep�c system IndFcated.The genenal loc��on af ariy seurer and wat��rvicss stwuld be shown if applicable. <br /> . 3. G'rddit�plan ff gr�ding is prapased. <br /> 4. Hardmver cala�latlan worksheets <br /> 5. F�an c:ontrol plan. <br /> 8. A c�py of Minnehaha Creek Watershed Distrtd{RACWb)Permits or dac�m�niatlan irom the MCWD staUng the <br /> Rrop�ed praler.t do�nat bigger arry of it►elr pe�mittlng requlrements. F�e�e note�#he CEty wlll rtot fasue a <br /> bt1I��R �YV�fOU��[i�0IR18dOR ff0111�'18��. <br /> T�Refl'IOVaI (�11: 952 249-4800�st�edule a sir�gle tree r�noval irropec�n. A r�plarr�r�p�nJ�lon saontr�ol/marragemerrt plan <br /> t�red for cc�ear buckUtom or other bttensive �don removal. <br /> Ilwi+s�nd• Inro�nni�N11A <br />