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REQUIRED SUBMITTAL$: <br />All of the following information must be submitted by the application deadline date in order for your <br />application to be processed . <br />Not <br />E nclosed Applicable <br />121' _,, □ Vari ance Annlication Fee <br />0" D Escrow Aareement, signed and Fee <br />D ),_ D Pre-Application Form <br />D / D Variance Aoolication Form <br />O'.....-□ Practical Difficulties Form <br />B" D Certified Prooertv Owners List <br />□.....-□ Survev (meeting ALL requirements) <br />l!J D Prooosed Plans <br />□ □ Hardcover Calculations <br />D D Seotic Svstem Site Evaluation Report <br />□ □ Minnehaha Creek Watershed District (MCWD) Permit or <br />Documentation from MCWD stating no permit is required <br />D / D Adiacent Prooertv Owners Acknowledaement <br />g' □ Data Privacy Advisory Form <br />APPLICANT A N D/OR OWNER: <br />• Agree to provide all information required or requested by the Planning 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 />ow ner recognize that they are solely responsible for submitting a complete application be ing 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 acknowle dges and agrees to this appli cation and further authorizes reasonable entry onto <br />the prop erty by City Staff, consultants . agents, Commission and Council Members for purposes of <br />investigation and verification of this request. <br />• Applicant and/or Owner 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 representative attend in pl ace of the applicant/owner and <br />Applica:::i•~i~::::Plann ~ Date 5 ~;1/$ <br />Applic ant's Sig nature: ___________ Date: <br />Owner's Signature: Date: <br />Owner's Signature: ------------Date: <br />Pac ket Last Upda ted: January 2015 <br />Page 12 <br />4t 37 48 <br />RE CEIVED <br />MAY ? n 20 15 <br />CITY OF ORONO