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REQUIRED SUBMITTALS <br />All of th* <br />Ic Id <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />Completed Application Form <br />List of owners within 150', labels and plat map fyou <br />Of <br />Certificate of Survey (signed by a licensed surveyor) and include hardcover <br /><■> “«»' X "■ to <br />To^graphic survey (existing and proposed elevations) if any changes in <br />grade are proposed. In addition, provide one (I) codv 8'/," x 11- fnr «« <br />Sheiches or pl.^ of floor & eieLion <br />List of the leg^ names (include marital status) of all persons with an interest ^ <br />the property. This would mclude name(s) of applicant(s) if not current owner(s) <br />As an addend^ to this application, please attach a separate list of anv oAer <br />persn^ you wish notified of this application. ^ <br />Additional items as may be requested by City staff. <br />The Applicant and Property Owner must sign this application. Please remember that vour <br />yariaace gpplicatwn h imt eempleie If the ahov> info rmation h.« .o, i,..„ <br />APPLICANT'S SIGNATURE <br />The applicant hereby agrees to provide all information required or requested by the Zoninn <br />Admrmstrator. agrees to pay additional fees (stafT time not covered by original fefpayS <br />md/or consultant expenses rncuried in review of this appheation. and cenifils <br />information supplied is true and correct to the best of histiier knowledge. <br />Applicant's Signature.^.^r^ JA/-/J ,( /,< .. j <br />OWNER’S SIGNATURE <br />The owner hereby acknowledges and agrees to this application and further authorizes reasonable <br />by C,ty staff consultants, agents. Commission members, and Council <br />r^embers for purposes of investigation and verification of this request. <br />Owner’s Signanire y]/)Date <br />Applicant must have dl submittals into the City offices 25 days before the Planninrt <br />m5TppSj;jr^ <br />Commission and Council. If m. applicant is unable to anend a sched^ed meeting Te!S <br />& Z^iSTS^e^ fl^7h “g“X"rt rm“ting." <br />^4 L O)¥ 4.:'