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Apr/09/2018 12:40:14 PM Ridgeview Pulmonary 9524428016 2/10 <br /> APPLICANTIOWNER ACKNOWLEDGEMENT: <br /> ' • ' Applicant/Owner agrees to provide all Information required or request@ by the Planning Department; <br /> • Owner agrees to pay the City of Orono for engineering consultant view costs where applicable; <br /> • Applicant/Owner certifies that the inforr ation supplied is true end co to the best of his/her knowledge. The applicant recognizes <br /> that they are solely responsible for submitting a complete application be ng aware that upon failure to do so,the staff has no alternative <br /> but to reject It until it Is complete; <br /> • Applicant acknowledges the attached Escrow Agreement Is completed nd signed by Owner; <br /> • Applicant/Owner understands their project may require an Initial and/or as-built survey per City Cods Section 68-68. <br /> • Some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. <br /> Private data Is Information which generally cannot be given to the public but can be given to the subject of the data. Confidential data <br /> Is information which generally cannot he given to either the public or tie subject of the data. Our purpose and Intended use of this <br /> Information la to annually update our records and records of other governmental agencies required by law. If you refuse to supply the <br /> information the application may not be issued. <br /> The undersigned certify that the inform n supplied • and correct to the best of their knowledge. <br /> Applicant's Signature: • Date: 'I1 11 ler <br /> Property Owner's Signature: `: Date: yl91 rt <br /> - - - • •UI` ,. ► Except for tree removal permits, all permits require a completed <br /> TYPE OF PERMiTi application f' ,escrow agreement(signed by the property owner)and escrow check from owner,two <br /> copies of each,where applicable,plans,landscape plans,grading plans,surveys or site plans. <br /> Dock,Commercial 1. Structural plans for the dock <br /> 2. Survey/sitelan showing the proposed location of the dock <br /> 3. Copy of LMCD permit <br /> Dock,Residential Seasonal Dock-survey showing proposed dock <br /> Permanent Dock-plans as approved by CUP and copy of LMCD permit(If applicable) _ <br /> Hardcover Permit 1. All Minor or Major Land Alteration Permit requirements apply as appropriate <br /> 2. Hardcover calculetiona,existing and proposed <br /> . 3. Survey <br /> Land Alteration,Major 1. Survey/grading plan including existing and proposed contours as approved by Conditional Use Permit <br /> 2. Erosion control plan. <br /> 3. A copy of Mlnneheha 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 /> buildlho permit without information from the VCCWD, <br /> Land Alteration,Minor 1. Survey/grading plan Including existing and propoited contours <br /> 2. Amount of fill to be Imported and/or exported and:haul route <br /> 3. Amount of earth to be moved around on site , <br /> 4. Erosion control plan. l <br /> 5. A copy of Mlnnehaha Creek Watershed Districti(MCWD)permits or documentation from the MCWD stating the <br /> proposed project does not trigger any of their p gritting requirements. Please note,the City will not Issue a <br /> building p. *without information from theMCWD. <br /> Retaining Wail 1. Plans for wall(s) <br /> 2. Unlace repair or exact replacement of existing ll,submit an updated survey with grading plan including existing and <br /> proposed contours <br /> 3. ,iardcover Wleulatlon worksheets 7 to shore's dlatrlet <br /> 4. Erosion control plan <br /> 5. A copy of Mlnnehaha Creek Watershed Dlstrice(MCWD)permits or documentation from the MCWD stating the <br /> proposed project does not trigger any of their rmitting requirements. Please note,the City will not issue a <br /> building permit without information from th MCWD. <br /> Stairway or Lifts to 1, Construction plans for stairway or lift,Including dotings <br /> Lake 2. Topographical survey of property with proposed stairs or lift shown <br /> 3. Erosion control plan <br /> 4. A copy of Mlnnehaha Creek Watershed Dlstricti(MCWD)permits or documentation from the MCWD stating the <br /> proposed project does not trigger any of their ppvetting requirements. Please note,the City will not Issue a <br /> buildingyermit without information from th MCWD, <br /> Structure Permit 1. Construction plans. <br /> 2. Survey/siteplan of property with proposed etre re shown and with setbacks to property lines,other structures on <br /> property and the septic system indicated.The eneral location of any sewer and water services should be shown if <br /> applicable. <br /> 3. Grading plan if grading le proposed. <br /> 4. Hardcover Calculation worksheets <br /> 6. Erosion control plan. <br /> 6. A copy of Mlnnehaha Creek Watershed Dish' (MCWD)permits or documentation from the MCWD stating the <br /> proposed project does not trigger any of their rifting requirements. Please note,the City will not issue a <br /> bulidits prrrmit without information from MCWD. <br /> Tree Removal w Call: 652-240-SOO to schedule an inspection for vat of an individual tree(s) A re-planting plan/erosion control r <br /> manajement plan may be required for clear outing,buckthorn or other intensive vegetation removai. <br /> Updated: January 2017 <br />