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• • <br /> REQUIRED SUBMITTALS: <br /> All of the following information must be submitted by the application deadline date in order for your application to <br /> be processed. <br /> Not <br /> Enclosed Applicable <br /> ❑ 0 Escrow Agreement(signed) <br /> ❑ 0 Escrow(received) <br /> O 0 Pre-Application Form <br /> 0 Application Form <br /> 0 Certified Property Owners List(350'), labels and map <br /> ❑ 0 Survey(meeting ALL requirements) <br /> ❑ ❑ Proposed Plans <br /> ❑ 0 Hardcover Calculation(s) <br /> ❑ ❑ Septic System Site Evaluation Report <br /> ❑ 0 Wetland Delineation <br /> O 0 Wetland Buffer Evaluation <br /> ❑ 0 Buffer Improvement Plan <br /> ❑ ❑ <br /> ❑ ❑ <br /> APPLICANT AND/OR OWNER: <br /> • Agree to provide all information required or requested by the RIanning Department, <br /> • Agree to pay additional fees (staff time not covered in the original fee payment) and/or consultant expenses <br /> incurred in review of this application, and <br /> • Certify that the information supplied is true and correct to the best of his/her knowledge. The applicant and <br /> owner recognize that they are solely responsible for submitting a complete application being aware <br /> that upon failure to do so, the staff has no alternative but to reject it until it is complete or to <br /> recommend the request for denial of the request regardless of its potential merit. <br /> • Acknowledge the Escrow Agreement is completed and signed <br /> • The Owner hereby acknowledges and agrees to this applicati n and further authorizes reasonable entry onto <br /> the property by City Staff, consultants, agents, Commis ion and Council Members for purposes of <br /> investigation and verification of this request. <br /> • Owner and/or Applicant acknowledge they must be present at all scheduled review meetings of the <br /> Planning Commission and Council. If an applicant and/or owner is unable to attend a scheduled meeting, <br /> please make arrangements to have an authorized represent tive attend in place of the applicant/owner and <br /> advise the City Planner assigned to your project. <br /> Owner's Signature: t r L , -f r Date: 7' ►VI 3 <br /> Owner's Signature: Date: <br /> (Jo-9e Pforr hts, LLC <br /> Applicant's Signature: Date: 1/t i/ a 3 <br /> "/ <br /> Applicant's Signature . —`�' ''�'h P‘n- Date: <br /> RECEIVED <br /> J 172Qa <br /> on,' ORON'C� <br /> Packet Last Updated: 03/29/13 # 362 <br /> Page 13 of 29 <br />