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UW/13/2 002 14:lfl FAI #52 844 3359 <br />||:1Qm Fr«-CiTY OF ORONO <br />specialty risk services <br />41112414111 <br />81004 <br />THOI F.OOI/OOS F-22i <br />REQUIRED S^UBMITTALS <br />All rf the fomwInglnforniRtlen must be mhmHted hv rti* annUggHnn ^«niHng Amim In <br />arJw far vniir â– pplfeaHow_fo_he gonridawd eomplafif* <br />1. <br />2. <br />Cocaplcted Application Faxm <br />CertiSed Fropeity Ownen Usi of owmen wfihin 150*, labels and plat mi^ ^ <br />mst obtain and map fiom Hame|^ CoimQr Depanmeot of <br />Cerdiicate of Swvey (signed by a licensed surveyor) aod Include baidcover <br />calculations as required In addition, provide one (1) copy 8J4" x II* for <br />leiooduction. <br />To(cgra{diic survey (existing and proposed elevadoiu) if any changes in rfflttfre <br />gnide are pooposcd. In addition, provide one (1) copy 8>4" x 11* for iqiroduction. <br />Skiicihes or plans of floor St elevation views Oitovide one (1) copy 8h" x 11*). <br />Litr. of the legal names (incliide marital status) of all persons with an mterest in <br />thii properly. Thfa would indude name(s) of applieaut(s) if not current owncx(f). <br />As an addendum to this applicadon, pleasa attach a separate list of any other <br />perions yon wish notified of this applkatiotL <br />Addicioiial hems as may be requested by CiQr staff. <br />The Applicant and Property Owner must sign tills application. Please remember that zbok <br />MriaDaUinBlUattOB b not CPItmlae If the above infonnaHnn not <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />APPLICANT'S SIGNATURE <br />The appU^t Iterel^ agrees to provide all infozmatioo required or requested by the <br />Administrator, ngrees to pay additional fees (staff time not covered by original &e payment) <br />and/or conraltaoi expenses Incuaed in review of this application, and certifies^ the <br />infhrmation susplied is true and comet to the best of biowledge. <br />AppUcanfs Siniatiire Date <br />OWNER'S SIGNATURE <br />The owner herrby odcnowledges and agrees to ibis application and iuitiier <br />entry onto the property by City sipf^ consuitants, agents. Commission members, and Council <br />members for imposes o£ Invesdgaiioa and verification of tills request. <br />Owner's SignaPJxe QgZPAtxQ Dote 0^ <br />Applicant must have all aubmlttals into the City ofiSees 2S days before the Piaiming <br />Commission Meeting. Planning Commisnon Meetings are held on the third Monday of each <br />month. Applfcanto most be present at an scheduled review meetings of the PlannlDg <br />Commission itnd CounclL If an applicant is unable to attend a scheduled meeting, please <br />nake anangenirsits to have an autiiotized agent attoid iu your place aod to advise die BoOtfrue <br />& Zoning Qfili.;e of tills change prior to die meeting.