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REQUIRED SUBMITTALS: <br />All of the following information must be submitted by the appl ication deadline date in order for your <br />application to be processed. <br />Not <br />Enclosed Applicable <br />D D Escrow Agreement signed <br />D D Escrow received <br />D o . Pre-Appl ication Form <br />D D Application Form <br />D D Hardship Documentation <br />D D Certified Property Owners List <br />D D Survey (meeting AL L requirements shown on pages 5 -6) <br />D D Proposed Plans <br />D D Hardcover Calculation(s) <br />D D Sept ic System Site Evaluat ion Report <br />D D Wetland De li neation <br />D D Wetlar:id Buffer Evaluation . <br />D D Buffer Improvement Plan <br />D D <br />APPLICANT AND/OR OWNER: <br />• Agree to provide all information required or requested by the Planning Department , <br />• Agree to pay additiona l fees (staff time not covered in the original fee paymen t ) and/or consultant expenses <br />incurred in review of this appl ication , and <br />• Certify that the information supplied is true and correct to the best of his/her know ledge . T he appl icant and <br />owner recognize that they are solely responsible for subm itting a complete app lication being aware <br />that upon failure to do so, the staff has no alte rn ative 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 comp leted and s igned. <br />• The Owner hereby acknow ledges and agrees to this app li cation and further autho rizes reasonable entry onto <br />the property by C ity Staff, consultants , agents , Comm issio n and Counc il Members for purposes of <br />investigation and verification of this request. <br />• Applicant and/or Owner acknowledge they must be present at all scheduled rev iew meetings of the <br />Planning Commission and Council. If an app licant and/o r owne r is unable to attend a schedu led meeting , <br />please make arrangements to have an authorized rep resentative attend in place of t he applicant/owne r and <br />adv ise the C ity Planne r assigned to you r project. <br />• Some or all of the informat ion that you are asked to provide on this application is c lass if ied by State law as <br />either private or confidentia l. Private data is information wh ich generally cannot be given to the pub lic but can <br />be g iven to the subject of th e data. Confidentia l data is information which generally cannot be given to either <br />t he pub lic or the subject of the data. Our purpose and intended use of t h is information is to annua lly update <br />our records and records of other governmental agencies required by law . If you refuse t o supp ly the <br />information , the application may not be issued. <br />App licant 's Signature : <br />Applicant's Signatu re : <br />Owner's Signature : <br />Owner's Signature : <br />-15 - <br />!RECEHYE D <br />APR 2 2 200 9 <br />CITY OF ORONO <br />#340 6