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REQUIRED SUBMITTALS: <br /> All of the information must be submitted in order for your application to be processed: <br /> �-- - <br /> ' Not <br /> r Enciosed A licable <br /> ' � � Buildin Permit Escrow A reement and Fees <br /> � ❑ Plan Review Fee <br /> � ❑ Com leted A plication Form <br /> � 0 Pro osed Poal or Hot Tub Plans–2 sets, full-size, to scale <br /> ❑ � Surve –2 full size, to scale (meeting ALL survey requirements) <br /> � ❑ D Hardcover Information � <br /> ❑ O Septic System Certification — <br /> , � ❑ M�nnehaha Creek Watershed District (MCWD) Permit or <br /> ! docurnentation from MCWD statin no ermit is required � <br /> I � � Landsca e Wafls and/or Retainin Wall Plans i <br /> � � � 0 Starmwater Poi(utian Prevention Plan <br /> ❑ � ❑ Dafa Privac �Advisor Form � i <br /> p p <br /> APPLICANT ACKNOWLEDGEMENT: <br /> , — <br /> � i <br /> ! • Agrees to provide ali information required or requested by the Planning&Buiiding Departments; ` <br /> i ! <br /> ! • Understands, if applicable, an as-built survey and as-built hardcover cover calculations, are required to be submitted after the <br /> i project is complete ( including final grading and Candscaping)prior to refunding the escrow; <br /> � • Certifies that the information supplied is true and correct to the best of hisJher knowiedge. The applicant recognizes that they are I <br /> � solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to <br /> � reject it until it is complete; i <br /> • Some or ali of the information that you are askec4 to provide on this application is classifled by State law as either private or � <br /> �! confidential. Private data is information which generally cannot be given to the public but can be given ta the subject of the data. I <br /> Confidential data is information which generafly cannot be given to either the public or the subject of the data. Our purpose and � <br /> � intended use of this information is to annuaily update our recards and records of other governmental agencies required by law. If ; <br /> j you refuse to supply the information, the permit may not be issued. <br /> I <br /> . . , r <br /> ApplicanYs Si nature: �� , <br /> 9 Date: `Z - �l • �� <br /> > �. <br /> _� ____j r~ <br /> �� � -� , � <br /> �wner's Signature �C�'' � ' Date; /T �\j // <br /> } ^V. "'� /A F ���� <br /> h � � <br /> � �`�- � 7�� � l� <br /> Packet Last Updated: August 2015 <br /> Page 23 <br />