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APPLf�CANT/OWNER ACKNOWLEDQEMENT: <br /> �• APPi�Owr�a9rees b provide d inlbnr�edian required or roqueded tiy the PlarNnB D�rnenx <br /> . Own�r aprMs t�pa�r tM CHy of Orono f�enpinsetln�aafsuldmt rovirw c�sb when appliCabN; <br /> • AppN�F/Owner osrtlfiea that 1he Mommrtlon suppNed k tnie and corred b the best d ta�tlsr knovvbd�e. The app�ant ra� <br /> that �ey ars eolely rosponsble 1� sutxNtf�g s aompiete applicatlon being awars tl�at upon faN�x+e b do so, ths staff has no <br /> eltemaUMe lwt fa roject it uMi k b oomplete� <br /> • Ap�k�nt adcrro�Aedyss the attadted Eecrow Apreement is comple�d snd aiprred bg►Owner; <br /> • ApplicandOMm�r unde�sbinds It�Nr proJect may�uiro an Mitlal andior as�ullt aurwy per City Cod�S�eBon e6�68. <br /> • Some or all o�ths informetlon fhat you ai+e asked 10 �rov� on this applicatlon is dessMed by S'ta�e iew as ekher pirate or <br /> aoc�AdsMiat. Ptivate data � kttort�atlon which 9enerdy cannot be qivan b ths public but can be given ta ihe s�jec�of the data. <br /> Coretldent�l �a k k�brtnatlon wNich �enersdy c�rwt be giv8n to eid�er tl�e pubic or the�ubjec:t d 1he data. Our pwpose and <br /> Intended use d this informatbn Is to update our reoords and neoonds of o�er goverrxr�ent�ager�es nequired by law. If <br /> c�efuse 10 s the infonnaiion rwrt ba issued. <br /> The underaigned c�ertlfy that the' tbn suppNed b true and�to the best of their knowledge. <br /> ApplfcaM's 8lgnaturo: Date: 8-Z 6- i d� <br /> Property Owner's Sig�ture: Date: <br /> 8UBM18SION RECUIREMENT3: E�aoept for bree rornoval permib, all pemdbs roquin a compl�bd <br /> TYPE OF PERMR: �pp�kaflon fomt� Ncrow ap�n�ent(siq�tM b�►1ha proParh►own�1 �nd e�erow CINdt trom o�wner, <br /> two copia cf eaeh�whs�s applkable�P���P��9���p����or sib plans. <br /> DOok,COmm�e�alal 1. Strudursl pl�ne i�tl�s dock <br /> 2 Suiwy/sibs pMn ahowfnp t!»propasd loqdion of th�dodc <br /> 8. ot LMCD psrtM <br /> Doek�ReNd�ntlal Sawaal Dodc-surwY��P�P�d dodc <br /> PsrrtuMM Dod�— a� CUP and o!L1ACD Aoabis <br /> FhrdCOv�P�rlillt 1. M Mr�or Majot l.snd Me�bn P�m�it requken'Nnb I�r a�ppivp�iabe <br /> 2 Ha�dcowr calaul�tlo�n,eodWnp�Propasd <br /> 3. Sunrsy <br /> (.and Albrstlon�Np4ior 1. Sun►eY/gradbp Pfan��Wnp e�atl�g and propoesd c�ntou�s as�PPrcved bY Co�ionat Wo PertMt <br /> 2. Et�fon coatrol plan. <br /> 3. A copy af Mhnshaha Croek W�I�shed Di�trld(MCYVD)P�mb or doaxnenbt�on t�om ths NICVW sMhq tlw <br /> ProPoasd ProJect does not trip�any of thNr pstmlmnp requkermnb. Pl�w nob�tM CIt�►wIN not b�• <br /> bu wHhout 4dorm�tlon fr�an 1fN 1AC11W. <br /> I..and Aib�atlon.Minor 1. Sunrey/pra�rg Plan k�Cludnp e�inp and propos�d oortoitts <br /> 2. ArnouM oi 1�b�ba knporled andla e�otbed and haul rwEe <br /> 3. Arnount d earth ta bs rtroved a�nd on slEe <br /> 4. Erosbn corkrol phn. <br /> S. A copy d NIru�Mha C�Ic W4wsMd Dktrict(YCVW)pMmb or doament�On irom!M MCWD stattrg�s <br /> ProD�d P�'oI�d��b'bDs►�Y��Pef+�+�D�• ��b�tlN Gty wNl not bsu�s <br /> MAtNout IMonnNlon frcm 1M IICIAID. <br /> Rehlninp YVaN 1. PI��ta w��q(s) <br /> 2. Unb�s npak or a�act ro��t o(aodstinp w�N,�bmR�n updaEed wrv�ay wRh yredinp Phn ir�lu�g eodstl�q and <br /> �OPaed oontous <br /> 3. Harrloovar qia�da►woAuhwb if�thonland die6rict <br /> 4. E�iw�Corltrol phn <br /> S. A oopy of Minnsh�fia C�sek Wa�Mshed Dlstrid(MCYVD)pertnb ot doa�mentatlon fram tho MCVYD�q tM <br /> W'�P�����Y��Pertni�q�e�en�e�• PN�S�reo�.tM Clt�►tMl not fNu�� <br /> MAtlaut infortnftlon irom ths Y�.`11MD. <br /> s�larw.y or utb�O 1. Coe�huctlo�qu�,b�adaw.,►a IMF,N�k�p footlrp. <br /> Laks 2 Topopr�hk�t suney W propetty wYA proposed aWr�or IR shorm <br /> 3. Erosion oontrol pan <br /> 4. A copy a?NMrteh�ha Cnsk Wa�ed D'Ntrict(MCWD)P�mitss a dodimeMstlon trom th�MCYVD ahtlnp tlro <br /> �v��••���ro a�v��a�+��s• �.a.noes,n�.c�e�r�noc asus a <br /> ro�ai w�n�a,t int�aa�tt+om aa rcvw. <br /> Strucbs+�P�rmlt 1. C.omtrudbn pl�ns. <br /> 2. SurwylsiEs pMin d propsAy wNh propo�ed�shawn and wkh satbadcs to propsrty 1r►es,otl►ar�rq� <br /> P��h�tM s�pdc sysrm�ed.The p�ral lo�bn of ar�r sa�and waEe�s�rvioss ahodd bs slrown N <br /> aPP�abb• <br /> 3. (�n0���9�P�'� <br /> 4. Hardaowr cabulMion w� <br /> 5. froslon oonhd pYn. <br /> 6. A aopy oi Mimehaha Ctsdc Wa1NsfNd Disbict(I�ICWD)Pem�s a doasne�lon han rire MGVVD slaW�p U�s <br /> P►oPo�ed Prol�d dos+nd trip�er an�I ot ttreir ps�rr�p roqulrom�nl�. Pl�as�rrobs�1fN qtr wrl not hsu�• <br /> wKhout iMoma�tlon han t!N MC11YD. <br /> Troe R�moval CN: �2 249-�00 Eo�chsduls�kapec�lon Tor�emwd�an i�kldud tros(s). A n�plantln�pan/ora�lon oonhol/ <br /> m b� ior d� buddhom or atlNr N�bmM romoval. <br /> Updabed: May 2�18 <br />