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11-06-' 14 11 :42 FROM- Farr ire Community 2396436282 T-154 P0002/0003 F-153 APPLICANT/OWNER ACKNOWLEDGEMENT; • Applicant/Owner agrees to provide all information required or requested by the Planning Department; • Owner agrees to pay the City of Orono for engineering consultant review costs where applicable; - • Applicant/Owner certifies that the information supplied is true and correct to the'best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so,the staff has no alternative but to reject it until it is complete; • Applicant acknowledges the attached Escrow Agreement is completed and signed by Owner; • Applicant/Owner understands their project may require an initial and as-built survey per City Code Section 86-68. I[ • 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. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject I of the data. Our purpose and intended use of this information is to annually update our records and records of other - f governmental agencies required by law. If ou refuse to su••I the information the a•.Haitian ma not be issued. The undersigned certify that the'• •rmation suppl�,;;,!r e : •a• correct to the best of their knowledge. Applicant's Signature: _; / {�11, Date: 1'i , i' OIL1 Property owners Signatureii / r'r ' 1, ir, r j�,4 Date 1 r 6 .-14 — TYPE OF PERMIT: SUBMISSION REQUIREMENTS: Except for tree removal permits, all permits require a completed application form,escrow agreement(signed by the property owner)and escrow check from owner,two copies of all plans, and three copies of all grading plans or surveys/site plans pock,Residential Seasonal Dock—survey showing proposed dock. Permanent Dock plans as approved by CUP and copy of LMCD permit(if applicable) Dock,Commercial 1. Structural plans for the dock 2. Survey showing the proposed location of the dock 3. Copy of LMCD permit - Hardcover Permit 1. All Minor or Major Land Alteration Permit requirements apply as appropriate . 2. Hardcover calculations,existing and proposed . 3. Plans Land Alteration,Major 1. Plans as approved by Conditional Use Permit 2.. Erosion control plan or copy of MCWD Erosion Control Permit Land Alteration,Minor 1. Survey/grading plan including existing and proposed contours (Less than 10 cu.yds.within 75'of 2. Amount of fill to be imported and/or exported and haul route • - lake or less than 501 cu.yds 3. Amount of earth to be moved around on site elsewhere.) 4. Erosion control plan or copy of MCWD Erosion Control Permit Retaining Wail 1. Plans.for wall(s) _ 2. Unless repair or exact replacement of existing wall,submit an updated survey with grading plan including existing and proposed contours 3. Hardcover calculation worksheets if in shoreland district . 4. Erosion control plan or copy of MCWD Erosion Control Permit Stairway to Lake 1. Construction plans for stairway,including footings 2. Topographical survey of property with proposed stairs shown 3. Erosion control plan or copy of MCWD Erosion Control Permit Structure Permit s . 1. Construction plans. 2. Survey of property with proposed structure shown and with setbacks to property lines,other structures on property and the septic system indicated.The general location of any sewer and water services should be shown if applicable. 3. Grading plan if grading is proposed. 4. Hardcover calculation worksheets 5. Erosion control plan or copy of MCWO Erosion Control Permit Tree Removal . Call: 952-249-4600 to schedule a single tree removal inspection. A re-planting plan/ management plan required for clear cuffing,buckthorn or other intensive vegetation removal. i Updated: November 30,2012