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09 /15/200'3 07: 09 · ... 4062434'330 .. · ... . .· fINANCIAL .AID P AGE 02/03 <br />SEP. 15. 2009 3:57PM EDINA REALTY Wayzata NO. 6263 P. 3 __ _...,. _____ r------·---... ~ ... -4~~..;.------.------------- <br />i ,i <br />j •••• ·, I <br />.... <br />• • ~ •';. 10 0 I • • • < • I p• 1 • 1 I I • ; ' .,• I •' • ; ' • • • • • /" I : • : • • I • • • P, '• <br />... REQUl~D.8UB11fl1'ALS. . . ·. _ . ,•,· ... ' ··-.... .:,,·, .... _ .. , . . . . . ..,, · . <br />. : .All ot th•· ,Oll9Wlog Information · 'must. ~:-subtnlif~ .t.w .'ttie.' epplfcation deadlioe · aate ·In . 'order for your . · r;;. .. tio··n··to,...: .. -...if ..•. · . · :.::,··. ··• 1 , · -• • · -· • • •. • .,PP."':"',. -~.,..·~ " . : . . ·;_;_·.•. ,:-. ,. <br />1 1 I <br />1 <br />• <br />1 <br />o,• I • .''\, "• <br />0 <br />o t 1 -':. ,.!," o ,'.', I•' ,.' ~ •' ', t • <br />1 <br />: o' 'r, J, f . '· <br />oO •"•• • I <br />' ' <br />AP UC T AND/OR OWNER: . . · ·, · · · <br />.• 'Agree ·m provide a~infQrmation i'equl~ed or requested; by the Plerining DePQrtme~t. · ·· . <br />• . Ag~ee to pay sd~ltlonel fu!l!s (staff ~me ~at.covered ~ the original tee paym_ent} and/or COl'lSuttant ~M~ <br />. Incurred in r.vlew ~f this sppllcation, and . J · · . . . <br />•. Ce~ that 1he lnfelirna11on sur,ptled is ~-~d co~~ t, tn.e ~ of hl~~e.r lcnpwf~9'?· Th!I appbcant .and <br />.. ~ recognlzo_ ~~ tll.•Y are . solely ~p~nslbfa, for ·sub_rp~na .a .c,oqipl~_:appJIQati~n beJrag ·~re · <br />· ~ upon: failure , kt . do . so, the G1aff, ha,; no ait.ffla\tlve ~-1t\o . reject , It !-1".'6' It le compkm or.~ <br />~n"unf)nd -"11 ~quest tor den~I o~ J~ ~u . .-rl,it,arcUes~\'ot,bs;:potonitill rnei:ft., : . , . . · <br />: ·:a+rr:tj:1:Zet::arlt~t1pi:litrti%~i/ij;;~';~~~ne~ e®Y ·~~to <br />the 'property by City Staff, consu)tants, l:!Qetjbli, ,Comtnls$1o.n·.-,and C(ltlncJI ·Membe~ ror. purposes .of <br />lnv~on arid verification of this requ~t:. ·i :' . \. ·• >'' .:.> ·, -·; \• . : . . .• · " . . .. , · .. <br />• ,-Ppbnt and/or bv,n-,,. ~knowtedg·i-~· mu~ be p~~nl ilt .• 11 ~ule,d ·~~~ m~~ga. of fh~. <br />Plal'lritna CommI•lo~ and c~un~II .. lf,an app)IC!int :a~dl?I' ~er It}_ unal:?19 to ~nd a sohedu!ed me&tirJQ, <br />plea~ .ff'.!ake a~nge~nts ID have an_'~uthorfied teP,MSentative attend .In place of the appU~nf/ovmer .a~ <br />a~lte th,e City P~ne~ esslg~~ to your.project . . :. · · · . . . . . . ·, · •. ·. . ··,' <br />. I ' • . I • ' • • • '." ' • <br />• some ~r all of the i1lfom,atJon ttlat you E!.re ~ed fa P,rovlde c'n this' application i& cl~~ifl~d by ·s1ata ISY( ·~s <br />either private or com,ldantial Private d~' Is infl;>rmatiO!J whlch gen9:rally ~nt:iot be givei, to th'e .pu_bli~ but oan· <br />be:alvan ta the subject of the data.· Confi9entiar. d~ts iS lnforma~o'l which genmillY caon~ ~ gl\len tti ~Uher . <br />the public or tt,18 BU~j~ of th~ daia. OUf.P~~~e .an~ !~teridet1 U~ • i~fo~.q~ i~ to '&inntia!,l)':updf,\t~ .... · <br />our iecords and NiCOrds of ether gov~T'nefital ag~neies ~r.t! . If'. Y!Ju ·mfuse ;to supply the . <br />Inform on the Ilea on m not be Issued., . · : ··. ·. ·. · · · ·· <br />: ! <br />·. ·. :·.:. · .. -.:~ .·)':::_;-\ . ·.r <br />r <br />I RECEIVED <br />SEP 2 1 2009 <br />CITY OF ORONO <br />.. ' <br />#3428