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required SUB iVOTT a LS <br />-•v <br />•>'I <br />crihmirtprl hvThe aoi^Tcatl0nT3eadlin'e'dateJn XU r>f the fnllnwing infnrmanon sunminea g ,iy«F ayyu------si-i* <br />order for vour apolication to be cf>n^idered coropietej. <br />1. <br />7 <br />X <br />j. <br />Comoleted Acolication Form <br />Certifed Procer-.- O^vT.crs List of o^v^tcrs vvithin 150’, hoels ond plat map (you <br />must obtain 'this list, labtis iod map com Henncpm Counr.- Dtpartmtnt ot <br />Fin3PCw Oov*t Owiic^r, —^ 1)* <br />Lruncato of Survey (signed by a licensed surveyor) and mciude hardcover <br />calculations as requL-ed. In addition, provide one (1) copy S-: x 11 for <br />Topocaoidc'sur.ev (existing and proposed elevations) if any changes in e.xisting <br />S^'are orcccsed. In addinon, provide one (1) copy 3'/f x II" tor reproduction <br />Sketc-es or plans of rlcor & elevation views (provide one (1) copy 8.i x 11 ). <br />List of the iLal names (mciude marital status) of all persons with an mterest m <br />the prooerr/ 'this would include name(s) of applicant(s) if not current owmer(s). <br />Is aTTddendum to this application, please attach a separate list of any other <br />persons you wish notified of this application. <br />Additional items as may be requested by City starf. (Ph <br />ITEMS HAVE BEEN PRE-.TOUSLY SL-3MITITD TO -reE Cm OF OROiO. <br />me ,5^ant and Prope.-ry Owner must sign .Ms appiication ""cMd^rT <br />P. <br />6. <br />7. <br />8. X <br />The ADDlicant ana rroccrcy wwi.ca -s-*-------. • i <br />annlica.t-'n I< no, comole.e if the above informatinn ha; hpr beep <br />Tte’eMklu Lre^^i^ees*^ provide all L-nbrmation required or requesteo by the ZoMg <br />AdmlVstrator agrees to' pav additional fees (staff ti.-ne not covered by ongmal tee <br />"crultatlt expenses incurred in review of this application and cert.fies that the <br />information supplied is truecorrect to the oest of his’her knowledge. <br />Applicant's Signature <br />true ^a correct to oic ucat. <br />Date <br />Tne owner herebv acknowledges and agrees to diis appiication and firther au&onzes <br />entrv onto the ptooen;.- by Cir.- staff, consultants, agents. Commisston members, an <br />members for purposes of investigation and venfication oi this request. <br />Owner's Signatur Date <br />i iv,n, r,.Kt have all submittals into the City offices 25 days before the Pluming <br />CorLssion Meetina. Planning Commission Meetings ate heid on the third ° <br />„on'* AoDlicants' must be present at all scheduled review meetmgs of the <br />r ‘^inn and Council If an acpiicam is unable to attend a scheduled meeting, p <br />^raTgemel 10 ^:^ authotked agent anend n yom place and to advise Me Butldmg <br />& Zoning Office of this cnange prior to the meeting. <br />S <br />I <br />■ ft